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Robert Elroy Kraetsch, MD
Hematology & Oncology Physician in Lake St Louis, Missouri
NPI 1609839281

Robert Elroy Kraetsch is a Hematology & Oncology Physician based in Wentzville, MO and is specialized in Hematology & Oncology. Robert Elroy Kraetsch practices in Lake St Louis, MO and has the professional credentials of MD. The NPI Number for Robert Elroy Kraetsch is 1609839281 and holds a License No. R6140 (Missouri).

The current practice location address for Robert Elroy Kraetsch is 400 Medical Plz, Lake St Louis, MO and can be reached out via phone at 636-639-8600 and via fax at 636-639-8666.

Location: 400 Medical Plz, Lake St Louis, MO, 63385-3421
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609839281
Provider Name
Robert Elroy Kraetsch
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
400 Medical Plz, Lake St Louis, MO, 63385-3421
Phone Number
636-639-8600
Fax Number
636-639-8666
Provider Enumeration Date
04/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
202536827 05 MO
3603013 01 UHC
110189320 01 RR MEDICARE
58811 01 GHP
121347 01 MO BCBS
134622 01 HEALTHLINK
4000561 01 AETNA
institution
Provider Business Practice Location Address Details
Address
400 Medical Plz
City
Lake St Louis
State
Missouri
Zip
63367-1490
Phone Number
636-639-8600
Fax Number
636-639-8666
person
Provider Business Mailing Address Details
Address
400 Medical Plz
City
Lake St Louis
State
Missouri
Zip
63367-1490
Phone Number
636-639-8600
Fax Number
636-639-8666
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
R6140 (Missouri)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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