Individual
MARK ALLEN ROSENKOETTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8 EXECUTIVE DR STE 200, FAIRVIEW HEIGHTS, IL 62208-1350
(618) 688-4727
Mailing address
806 OLIVE ST APT 2, HIGHLAND, IL 62249-1663
(618) 292-7059
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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