Individual
ROGER LELAND SKIERKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
513 N CHERRY ST, SHELL ROCK, IA 50670
(319) 885-6530
(319) 885-6535
Mailing address
PO BOX 665, 513 N CHERRY ST, SHELL ROCK, IA 50670
(319) 885-6530
(319) 885-6535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32033
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7138610
—
IA
Enumeration date
01/26/2006
Last updated
10/03/2007
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