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Individual

DR. ALICIA S. BOLZENIUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
611 US HIGHWAY 50 W, UNION, MO 63084-1939
(636) 584-7900
(636) 583-8897
Mailing address
611 US HIGHWAY 50 W, UNION, MO 63084-1939

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2001007358
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
153385
BLUE CROSS BLUE SHIELD
MO
01
44-01261
UNITED HEALTH CARE
MO
01
479740
HEALTHLINK
MO
Enumeration date
09/20/2006
Last updated
07/08/2007
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