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Mark Allen Rosenkoetter JR.
Student in an Organized Health Care Education/Training Program in Fairview Heights, Illinois
NPI 1558061408

Mark Allen Rosenkoetter JR. is a Student in an Organized Health Care Education/Training Program based in Highland, IL. Mark Allen Rosenkoetter JR. practices in Fairview Heights, IL. The NPI Number for Mark Allen Rosenkoetter JR. is 1558061408 and holds a License No. (Illinois).

The current practice location address for Mark Allen Rosenkoetter JR. is 8 Executive Dr Ste 200, Fairview Heights, IL and can be reached out via phone at 618-688-4727.

Location: 8 Executive Dr Ste 200, Fairview Heights, IL, 62249-1663
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558061408
Provider Name
Mark Allen Rosenkoetter JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
8 Executive Dr Ste 200, Fairview Heights, IL, 62249-1663
Phone Number
618-688-4727
Fax Number
Provider Enumeration Date
03/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8 Executive Dr Ste 200
City
Fairview Heights
State
Illinois
Zip
62208-1350
Phone Number
618-688-4727
Fax Number
person
Provider Business Mailing Address Details
Address
8 Executive Dr Ste 200
City
Fairview Heights
State
Illinois
Zip
62208-1350
Phone Number
618-688-4727
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Illinois)
Definition
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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