Individual
CARLY ROSKOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
709 W MAIN ST, MANCHESTER, IA 52057-1526
(563) 927-3232
Mailing address
3701 KATZ DR, MARION, IA 52302-3871
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A129749
IA
Other
Enumeration date
06/19/2015
Last updated
10/28/2020
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