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NPI Code Detail

MEDICARE: DAVID MICHAEL ROELOFSZ MD

MEDICARE: DAVID MICHAEL ROELOFSZ 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
1390200000XStudent in an Organized Health Care Education/Training Program
2207RP1001XPulmonary Disease PhysicianW5947TX

General Provider Information

NPI Number : 1154950186
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID MICHAEL ROELOFSZ MD
Provider Business Mailing Address
First Line : 2301 HOLMES ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64108-2677
Country : US
Telephone Number : 816-404-1000
Fax Number :
Provider Business Practice Location Address
First Line : 2301 HOLMES ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64108-2640
Country : US
Telephone Number : 816-404-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2020
Last Update Date : 06/03/2026

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