Individual
DR. STEVEN GALE ROSHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
417 QUARRY LAKES DR., SANDUSKY, OH 44870-4132
(419) 626-9090
(419) 626-6319
Mailing address
417 QUARRY LAKES DR., SANDUSKY, OH 44870-4132
(419) 626-9090
(419) 626-6319
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35044393R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000128757
ANTHEM
OH
01
—
03540
PARAMOUNT
OH
01
—
110040853
RAILROAD MEDICARE
OH
05
—
514269
—
OH
01
—
68543877-001
MEDICAL MUTUAL OF OHIO
OH
01
—
RO0542192
MEDICARE PROVIDER #
OH
Enumeration date
12/29/2005
Last updated
01/02/2008
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