Organization
MICHAEL J ROSCHER DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAY ROSCHER DDS (OWNER)
(651) 459-2387
Entity
Organization
Contact information
Practice address
1590 HASTINGS AVE, NEWPORT, MN 55055-1646
(651) 459-2387
(651) 459-3259
Mailing address
1590 HASTINGS AVE, NEWPORT, MN 55055-1646
(651) 459-2387
(651) 459-3259
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
MN8121
MN
Other
Enumeration date
10/16/2006
Last updated
06/22/2010
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