Individual
DR. CHARLES MICHAEL ROESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
209 MOLLER AVE, SITKA, AK 99835-7142
(907) 747-1722
(907) 747-1755
Mailing address
209 MOLLER AVE, SITKA, AK 99835-7142
(907) 747-1722
(907) 747-1755
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3878
AK
207Q00000X
Family Medicine Physician
MD20793
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1575790
—
AK
Enumeration date
12/09/2005
Last updated
12/22/2017
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