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NPI Code Detail

MEDICARE: FELICE ANN ROLNICK MD

MEDICARE: FELICE ANN ROLNICK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist PhysicianR8P87MO
2207R00000XInternal Medicine PhysicianR8P87MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01228373OTHERMORAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659317188
Entity Type Code : Individual
Provider Name (Legal Business Name) : FELICE ANN ROLNICK MD
Provider Business Mailing Address
First Line : 12125 WOODCREST EXECUTIVE DR
Second Line : SUITE 22
City : SAINT LOUIS
State : MO
Zip : 63141-5001
Country : US
Telephone Number : 314-317-0600
Fax Number : 314-317-0606
Provider Business Practice Location Address
First Line : 1015 BOWLES AVE
Second Line :
City : FENTON
State : MO
Zip : 63026-2394
Country : US
Telephone Number : 636-496-2000
Fax Number : 314-317-0606
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2006
Last Update Date : 05/08/2014

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Directions to “ FELICE ANN ROLNICK MD” Practice Location

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