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Individual
DR. ROGER JOSEPH KASPERBAUER
Active
Individual
DR. ROGER JOSEPH KASPERBAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A5174
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0258038
—
IA
01
—
25803
WELLMARK BC/BS
IA
Enumeration date
08/16/2005
Last updated
03/28/2013
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