Michael Lee Roetman OD

NPI 1063489177 - Optometrist - 152W00000X

NPI Details
NPI 1063489177
Gender Male
Enumeration Date 03/07/2006
Last Updated 09/27/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
502 1ST AVE
ROCK RAPIDS IA, 51246-1014, US
Phone (712) 472-3464
Fax (712) 472-2788
Business Location
502 FIRST AVE
ROCK RAPIDS IA, 51246, US
Phone (712) 472-3464
Fax (712) 472-2788
Toxanomy
Taxonomy Code 152W00000X
License State Iowa
License Number IA1754
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According to our database, Dr. Michael Lee Roetman OD NPI is 1063489177, taxonomy code is 152W00000X and license number is IA1754, license state is located at Iowa. Michael Lee Roetman OD physically located at 502 1st Ave, Rock Rapids IA, 51246-1014. NPI Number Michael Lee Roetman OD has the Individual type.

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1063489177 NPI number is provided on an as is basis without warranty of any kind. 1063489177 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Lee Roetman OD are for informational purposes only.