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Individual
MARK ALDERSON ROESLER
Active
Individual
MARK ALDERSON ROESLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005161
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12448
BLUE CROSS BLUE SHIELD
MO
01
—
140674900
DEPT OF LABOR
MO
01
—
431429608R
MERCY
MO
01
—
4400116
UNITED HEALTHCARE
MO
Enumeration date
09/20/2006
Last updated
10/20/2010
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