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Individual

DR. ROGER GERALD KATHOL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3004 FOXPOINT RD, BURNSVILLE, MN 55337-1072
(952) 426-1626
Mailing address
3004 FOXPOINT RD, BURNSVILLE, MN 55337-1072
(952) 426-1626

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20592
IA
207R00000X
Internal Medicine Physician
Primary
44448
MN

Other

Enumeration date
10/31/2006
Last updated
12/20/2015
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