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NPI 1750314795

NPI 1750314795 : STEVEN SUKWOO ROH MD : MINNEAPOLIS, MN

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General NPI Number Information
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    NPI Number           |    1750314795
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    Entity Type          |    Individual 
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    Provider Name        |    STEVEN SUKWOO ROH MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/09/2006
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    Last Update Date     |    02/03/2020
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Provider Practice Location Address
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    Address Line         |    3300 OAKDALE AVE N SUITE 200
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    City                 |    MINNEAPOLIS
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    State                |    MN
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    Zip                  |    55422-2926
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    Country              |    US
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    Telephone            |    763-520-2000
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    Fax                  |    763-520-2099
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Provider Business Mailing Address
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    Address Line         |    3300 OAKDALE AVE N SUITE 200
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    City                 |    MINNEAPOLIS
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    State                |    MN
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    Zip                  |    55422-2926
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    Country              |    US
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    Telephone            |    763-520-2000
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    Fax                  |    763-520-2099
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    45501
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    License Number State |    WI
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Taxonomy #2
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    Taxonomy Code        |    207RI0011X
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    Taxonomy Name        |    Interventional Cardiology Physician
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    License Number       |    38903
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    License Number State |    MN
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Taxonomy #3
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    Taxonomy Code        |    207RI0011X
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    Taxonomy Name        |    Interventional Cardiology Physician
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    License Number       |    45501
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    License Number State |    WI
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Taxonomy #4
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    38903
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    License Number State |    MN
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