Individual
DR. RODERICK L MEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 REDBIRD CIR, DE PERE, WI 54115-7977
(920) 338-6870
Mailing address
555 REDBIRD CIR, DE PERE, WI 54115-7977
(920) 338-6870
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24827
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30606800
—
WI
05
—
30606800WI
—
WI
Enumeration date
08/23/2006
Last updated
03/07/2023
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