Individual
DR. MICHAEL LEE ROETMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
502 1ST AVE, ROCK RAPIDS, IA 51246-1014
(712) 472-3464
(712) 472-2788
Mailing address
502 FIRST AVE, ROCK RAPIDS, IA 51246
(712) 472-3464
(712) 472-2788
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
IA1754
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114165
—
IA
Enumeration date
03/07/2006
Last updated
09/27/2011
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