Individual
MARK ALDERSON ROESLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11638 W FLORISSANT AVE, FLORISSANT, MO 63033-6723
(314) 838-2220
(314) 838-8161
Mailing address
11638 W FLORISSANT AVE, FLORISSANT, MO 63033-6723
(314) 838-2220
(314) 838-8161
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005161
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12448
BLUE CROSS BLUE SHIELD
MO
01
—
140674900
DEPT OF LABOR
MO
01
—
431429608R
MERCY
MO
01
—
4400116
UNITED HEALTHCARE
MO
Enumeration date
09/20/2006
Last updated
10/20/2010
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