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Individual

JAMES ROELOFS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 HARVARD ST SE, UNIT J2-300, MINNEAPOLIS, MN 55455-0363
(612) 273-6004
(612) 273-8459
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE STREET SE, MMC 292, MINNEAPOLIS, MN 55455
(612) 273-6004
(612) 273-8459

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
21346
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1010254
PREFERRED ONE
MN
01
107102
UCARE
MN
01
16-02032
MEDICA PRIMARY
MN
01
16-02747
MEDICA CHOICE
MN
01
1723079
ARAZ
FM
01
337675
FAIRVIEW
MN
01
HP40527
HEALTH PARTNERS
MN
Enumeration date
09/20/2006
Last updated
07/08/2007
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