Individual
COLLEEN MARIE ROETHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1455 SAINT FRANCIS AVE, DIABETES EDUCATION PROGRAM, SHAKOPEE, MN 55379-3374
(952) 403-2609
(952) 403-3806
Mailing address
13908 JAMES AVE S, BURNSVILLE, MN 55337-4456
(952) 403-2609
(952) 403-3806
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
R 103484-2
MN
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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