Individual
ROGER W PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5251
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
29100
WI
2080P0206X
Pediatric Gastroenterology Physician
29100
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31377900
—
WI
Enumeration date
09/25/2006
Last updated
09/28/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us