Kranzusch, Gregory

Kranzusch, Gregory is an individual health care provider with primary practice located at 1299 Reavis Barracks Rd , Saint Louis MO 63125-3260. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Kranzusch, Gregory can be contacted via phone (314) 487-9300.

Contact Information

Primary practice address
1299 Reavis Barracks Rd Saint Louis MO 63125-3260
Phone: (314) 487-9300
Fax: (314) 487-9338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 2001012399 Missouri

Profile Details

NPI number 1255396180
LBN Legal business name Kranzusch, Gregory
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated May 22nd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255396180 NPPES
Missouri MEDICAID 305456105

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