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NPI Code Detail

MEDICARE: STEVEN KRAUSE D.O.

MEDICARE: STEVEN KRAUSE D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0011XInterventional Cardiology Physician2009009430MO
2207RI0011XInterventional Cardiology Physician036107848IL

General Provider Information

NPI Number : 1386628519
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN KRAUSE D.O.
Provider Business Mailing Address
First Line : 927 BROADWAY ST STE 230
Second Line :
City : QUINCY
State : IL
Zip : 62301-2749
Country : US
Telephone Number : 217-221-0900
Fax Number :
Provider Business Practice Location Address
First Line : 927 BROADWAY ST
Second Line : SUITE 200
City : QUINCY
State : IL
Zip : 62301-2719
Country : US
Telephone Number : 217-221-0900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2005
Last Update Date : 11/27/2023

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Directions to “ STEVEN KRAUSE D.O.” Practice Location

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