Individual
IAN ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 S. COLUMBIA RD, GRAND FORKS, ND 58201-4036
(701) 780-6000
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-4085
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
6261
WI
207L00000X
Anesthesiology Physician
Primary
PT16784
ND
Other
Enumeration date
04/03/2016
Last updated
08/06/2020
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