Individual
MR. ROBERT ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.AC. L.AC
Contact information
Practice address
139 MAIN ST, BETHEL, MN 55005
(763) 269-8051
(763) 269-8051
Mailing address
139 MAIN ST, P. O. BOX 136, BETHEL, MN 55005
(763) 269-8051
(763) 269-8051
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1482
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
633017700
—
MN
Enumeration date
04/27/2011
Last updated
04/27/2011
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