Individual
DR. MARK LEWIS ROLNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3270 CHESTER BLVD, SAINT CHARLES, MO 63301-4793
(314) 567-1831
Mailing address
3270 CHESTER BLVD, SAINT CHARLES, MO 63301-4793
(314) 567-1831
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016003222
IL
213E00000X
Podiatrist
Primary
525
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302590302
—
MO
Enumeration date
10/07/2005
Last updated
09/21/2019
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