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Individual

DOUGLAS A ROISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
4957
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1012767
ARAZ #
ND
01
1100119
FGO MEDICA #
ND
01
1100125
INN MEDICA #
ND
01
12352
SIOUX VALLEY #
ND
01
142059
UCARE #
ND
05
14544
ND
05
17475
ND
01
19107
FGO NDBS #
ND
05
213627900
ND
01
88D16RO
FGO MNBS#
ND
01
DA9011026994
PREF 1 #
ND
01
HP38337
HEALTHPARTNERS #
ND
Enumeration date
07/18/2006
Last updated
07/18/2012
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