Individual
ROGER W. KIRCHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3715 AUTUMN GLEN CT, SANTA ROSA, CA 95403-0994
(707) 494-4107
Mailing address
3715 AUTUMN GLEN CT, SANTA ROSA, CA 95403-0994
(707) 494-4107
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G49078
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G490780
—
CA
Enumeration date
10/25/2006
Last updated
10/10/2014
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