Healthcare Provider Details

I. General information

NPI: 1861312522
Provider Name (Legal Business Name): MR. CHRISTOF NICHOLAS ROSLER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 N. SALES ST. (OSU COLLEGE OF OSTEOPATHIC MEDICINE)
TULSA OK
74107
US

IV. Provider business mailing address

3729 E. 87TH PL. CHRISTOF ROSLER
TULSA OK
74137
US

V. Phone/Fax

Practice location:
  • Phone: 425-835-1678
  • Fax:
Mailing address:
  • Phone: 425-835-1678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: