Individual
MICHAEL ROHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7300 N PERIMETER RD, MALMSTROM AFB, MT 59402-6701
(406) 750-5339
Mailing address
10063 NW BRIGHTON LN, PORTLAND, OR 97229-8159
(406) 750-5339
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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