Individual provider · Type 1 NPI

Dirk Mitchell Krog I, DPM

Student in an Organized Health Care Education/Training Program · Bridgeton, MO

NPI number 1982592788 Active

Practice location

12303 De Paul Dr
Bridgeton, MO 63044-2512

Call (314) 344-6000 Map

Mailing address

28602 510th Ave
Henning, MN 56551-9319

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1982592788

Dirk Mitchell Krog I, DPM's National Provider Identifier is 1982592788, issued on Jun 27, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bridgeton, MO. The record was last updated on Jun 27, 2025.