Individual
DR. ROMAN BLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5775 WAYZATA BLVD STE 190, SAINT LOUIS PARK, MN 55416
(952) 541-1840
Mailing address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7339
(616) 361-5828
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101241122
VA
2085R0202X
Diagnostic Radiology Physician
4301091521
MI
2085R0202X
Diagnostic Radiology Physician
Primary
63511
MN
Other
Enumeration date
02/25/2007
Last updated
06/06/2018
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