Individual
ROGER STEVEN RACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
101 3RD AVE SW, MINOT, ND 58701-3880
(701) 857-3584
(701) 857-3566
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 857-5650
(701) 857-5031
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
171
MT
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
65
ND
213ES0131X
Foot Surgery Podiatrist
DPM.200037
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01455275
—
MS
05
—
2120743
—
LA
Enumeration date
01/09/2008
Last updated
02/12/2013
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