DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TRAVIS L ROETHLER PA-C

MEDICARE: TRAVIS L ROETHLER PA-C
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
1363A00000XPhysician Assistant9141MN

General Provider Information

NPI Number : 1164400057
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRAVIS L ROETHLER PA-C
Provider Business Mailing Address
First Line : 924 1ST ST NE
Second Line :
City : FARIBAULT
State : MN
Zip : 55021-5441
Country : US
Telephone Number : 507-333-3300
Fax Number : 507-333-3214
Provider Business Practice Location Address
First Line : 300 STATE AVE
Second Line :
City : FARIBAULT
State : MN
Zip : 55021-6319
Country : US
Telephone Number : 507-333-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2006
Last Update Date : 10/26/2020

Similar Medicare Providers

1629071675 — DR. ALEX SNEIDERS M.D.
Practice Location Address:
300 STATE AVE
FARIBAULT, MN
55021-6319
Practice Phone: 507-333-3200
Practice Fax: 507-333-3211
1134169246 — JORY M BURROUGHS M.D.
Practice Location Address:
300 STATE AVE
FARIBAULT, MN
55021-6319
Practice Phone: 507-333-3300
Practice Fax:
1730264037 — JAMES LAYNE MOORE MD
Practice Location Address:
300 STATE AVE
FARIBAULT, MN
55021-6319
Practice Phone: 507-333-3300
Practice Fax: 507-333-3387
1003251885 — MYSOON AYUOB
Practice Location Address:
300 STATE AVE
FARIBAULT, MN
55021-6319
Practice Phone: 150-733-3330
Practice Fax:
1457779563 — BRIAN IGONI WARIBOKO M.D
Practice Location Address:
300 STATE AVE
FARIBAULT, MN
55021-6319
Practice Phone: 507-333-3300
Practice Fax:
1073040838 — MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
Practice Location Address:
300 STATE AVE
FARIBAULT, MN
55021-6319
Practice Phone: 507-333-3300
Practice Fax:

Directions to “ TRAVIS L ROETHLER PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.