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NPI Code Detail

MEDICARE: MEGAN ROEMER

MEDICARE:   MEGAN  ROEMER
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
12471C3402XRadiography Radiologic TechnologistXT016725IN

General Provider Information

NPI Number : 1598911471
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN ROEMER
Provider Business Mailing Address
First Line : 303 E PIKE ST
Second Line :
City : ATTICA
State : IN
Zip : 47918-1519
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1481 W 10TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-2803
Country : US
Telephone Number : 317-554-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2008
Last Update Date : 08/12/2008

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Directions to “ MEGAN ROEMER ” Practice Location

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