Individual provider · Type 1 NPI

Mark Allen Rosenkoetter Jr.

Student in an Organized Health Care Education/Training Program · Fairview Heights, IL

NPI number 1558061408 Active

Practice location

8 Executive Dr Ste 200
Fairview Heights, IL 62208-1350

Call (618) 688-4727 Map

Mailing address

806 Olive St Apt 2
Highland, IL 62249-1663

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1558061408

Mark Allen Rosenkoetter Jr.'s National Provider Identifier is 1558061408, issued on Mar 8, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fairview Heights, IL. The record was last updated on Mar 8, 2023.