MEDICARE: RICHARD L ROMEYN M.D.

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
1	174400000X	Specialist	32427	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669447041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD L ROMEYN M.D.

Provider Business Mailing Address
First Line	:	111 RIVERFRONT
Second Line	:	STE 307
City	:	WINONA
State	:	MN
Zip	:	55987-3456
Country	:	US
Telephone Number	:	507-474-9300
Fax Number	:	507-474-9302

Provider Business Practice Location Address
First Line	:	111 RIVERFRONT
Second Line	:	STE 307
City	:	WINONA
State	:	MN
Zip	:	55987-3456
Country	:	US
Telephone Number	:	507-474-9300
Fax Number	:	507-474-9302

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	12/14/2010

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