Individual
FELICE ANN ROLNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1015 BOWLES AVE, FENTON, MO 63026-2394
(636) 496-2000
(314) 317-0606
Mailing address
12125 WOODCREST EXECUTIVE DR, SUITE 22, SAINT LOUIS, MO 63141-5001
(314) 317-0600
(314) 317-0606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R8P87
MO
208M00000X
Hospitalist Physician
R8P87
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659317188
—
IL
05
—
1811933823
—
MO
01
—
P01228373
RAILROAD MEDICARE
MO
Enumeration date
06/22/2006
Last updated
05/08/2014
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