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Individual
ROSELLER LIBARNES
Active
Individual
ROSELLER LIBARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35461
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0426536
—
IA
01
—
07604
BLUE CROSS WELLMARK
IA
01
—
504472
IOWA HEALTH SOLUTIONS
IA
01
—
IA0136
JOHN DEERE HEALTH
IA
01
—
P00081383
RAILROAD MEDICARE
IA
Enumeration date
01/26/2006
Last updated
08/01/2007
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