Individual
DR. CHRIS R ROSENQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 N MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63701-3437
(573) 339-1101
(573) 339-1737
Mailing address
1111 N MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63701-3437
(573) 339-1101
(573) 339-1737
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
31341
KY
207V00000X
Obstetrics & Gynecology Physician
Primary
R5J73
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117028
BLUE CROSS BLUE SHIELD
MO
01
—
135347
HEALTHLINK
MO
05
—
202662417
—
MO
01
—
31341
STATE LICENSE
KY
Enumeration date
08/15/2005
Last updated
04/02/2014
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