Individual
PETER G ROODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 W MAIN ST, SPARTA, WI 54656-2170
(608) 269-1770
(608) 269-1017
Mailing address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 392-4156
(608) 392-9898
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
31730
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31683800
—
WI
Enumeration date
11/03/2006
Last updated
07/08/2007
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