Individual
DR. KRISTOPHER CARSON ROSBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637
(309) 677-7171
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 677-7171
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036.149648
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036.149648
IL
Other
Enumeration date
04/05/2012
Last updated
10/12/2020
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