Individual
DR. MARTHA SUSAN ROELLIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER MCHK-FME, TAMC, HI 96859-5001
(808) 433-5000
Mailing address
44580 NW COMET CT, BANKS, OR 97106-8842
(808) 358-5598
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2004015334
MO
Other
Enumeration date
03/02/2006
Last updated
10/16/2009
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