Individual
HAROLD T RODENBIKER
Active
Individual
HAROLD T RODENBIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
29919
MN
207W00000X
Ophthalmology Physician
Primary
5102
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11358
BLUE SHIELD
ND
05
—
14692
—
ND
01
—
2M040RO
BLUE SHIELD
MN
01
—
892810
VISION SERVICES
ND
Enumeration date
10/11/2006
Last updated
12/12/2007
Update your record
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