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Mary Rosenhauer, PA-C
Medical Physician Assistant in Carbondale, Illinois
NPI 1679511281

Mary Rosenhauer is a Medical Physician Assistant based in Carbondale, IL and is specialized in Medical. Mary Rosenhauer practices in Carbondale, IL and has the professional credentials of PA-C. The NPI Number for Mary Rosenhauer is 1679511281 and holds a License No. 085-001667 (Illinois).

The current practice location address for Mary Rosenhauer is 1350 Cedar Ct, Carbondale, IL and can be reached out via phone at 618-529-2955.

Location: 1350 Cedar Ct, Carbondale, IL, 62901-5336
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679511281
Provider Name
Mary Rosenhauer
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1350 Cedar Ct, Carbondale, IL, 62901-5336
Phone Number
618-529-2955
Fax Number
Provider Enumeration Date
06/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
085-001667 01 IL STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1350 Cedar Ct
City
Carbondale
State
Illinois
Zip
62901-5336
Phone Number
618-529-2955
Fax Number
person
Provider Business Mailing Address Details
Address
1350 Cedar Ct
City
Carbondale
State
Illinois
Zip
62901-5336
Phone Number
618-529-2955
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
085-001667 (Illinois)
Definition
Definition to come...
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