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Individual
ROGER A MANSNERUS
Active
Individual
ROGER A MANSNERUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35044597
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000501421
ANTHEM BC/BS
OH
05
—
0517131
—
OH
01
—
341542312148
CARESOURCE
OH
01
—
377322
WELLCARE
OH
01
—
743124
BCHP
OH
01
—
P00360277
RRCARE
OH
01
—
P00705952
RAILROAD CARE
OH
Enumeration date
08/11/2005
Last updated
06/26/2009
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