Individual
AUSTIN JEFFREY ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
1400 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 348-2331
Mailing address
1400 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
17046-33
WI
Other
Enumeration date
06/05/2025
Last updated
07/17/2025
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