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NPI Code Detail

MEDICARE: DR. ROBERT J ROSWICK MD

MEDICARE: DR. ROBERT J ROSWICK 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
1207Q00000XFamily Medicine Physician5204ND

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2080174391OTHERNDMEDICARE RAILROAD

Other Identifiers

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

General Provider Information

NPI Number : 1942240668
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT J ROSWICK MD
Provider Business Mailing Address
First Line : 401 N 9TH ST
Second Line :
City : BISMARCK
State : ND
Zip : 58501-4507
Country : US
Telephone Number : 701-530-6000
Fax Number : 701-530-6430
Provider Business Practice Location Address
First Line : 3318 N 14TH ST
Second Line :
City : BISMARCK
State : ND
Zip : 58503-1614
Country : US
Telephone Number : 701-323-8300
Fax Number : 701-323-8875
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 04/24/2019

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Directions to “ DR. ROBERT J ROSWICK MD” Practice Location

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