Individual
IAN ROSLAWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1000
Mailing address
42D MEDICAL GROUP, 300 S. TWINING ST BLDG 760, MAXWELL AFB, AL 36112
(334) 953-3368
(334) 953-8607
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
2024045914
MO
Other
Enumeration date
03/27/2018
Last updated
04/09/2025
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