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Individual
ROGER K. WAAGE
Active
Individual
ROGER K. WAAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23375
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-15943
MEDICA
—
05
—
30226800
—
WI
01
—
8T142WA
BCBSMN
MN
01
—
C005
TRICARE WEST
—
01
—
CN1040796006
PREFERREDONE
—
01
—
HP22430
HEALTHPARTNERS
—
Enumeration date
10/19/2005
Last updated
07/08/2007
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