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Individual
ROGER CROUSE
Active
Individual
ROGER CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44428
MN
207R00000X
Internal Medicine Physician
Primary
ME127700
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01198052
RAILROAD MEDICARE
MN
Enumeration date
12/15/2005
Last updated
02/09/2022
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