Individual
ORESTE ROMEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 JOHN ST, BOX 67, KALAMAZOO, MI 49007-5341
(269) 341-6022
(269) 341-8244
Mailing address
601 JOHN ST, BOX 67, KALAMAZOO, MI 49007-5341
(269) 341-6022
(269) 341-8244
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01067321A
IN
208600000X
Surgery Physician
4301080253
MI
2086S0102X
Surgical Critical Care Physician
01067321A
IN
2086S0102X
Surgical Critical Care Physician
4301080253
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000768084
ANTHEM PIN
IN
01
—
000000824111
ANTHEM PROVIDER NUMBER
IN
05
—
200964850
—
IN
Enumeration date
06/14/2006
Last updated
11/27/2023
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