Individual
DONALD LEE ROEGNER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
702 WEST ALTO ROAD, KOKOMO, IN 46902
(765) 453-7422
(765) 453-3773
Mailing address
PO BOX 6459, KOKOMO, IN 46904-6459
(765) 453-7422
(765) 453-3773
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01023409A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100154150A
—
IN
Enumeration date
03/14/2007
Last updated
12/03/2012
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