Individual
RANDALL K ROENIGK
Active
Individual
RANDALL K ROENIGK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
16827
AZ
207N00000X
Dermatology Physician
28319
MN
207N00000X
Dermatology Physician
ME50090
FL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
28319
MN
Other
Enumeration date
12/29/2005
Last updated
10/05/2020
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