Individual
MR. ROGER P HANDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1321 13TH ST N, ST CLOUD, MN 56303-2614
(320) 252-5010
(320) 203-1855
Mailing address
1321 13TH ST N, ST CLOUD, MN 56303-2614
(320) 252-5010
(320) 203-1855
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20279
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120063C851
UCARE
—
01
—
1567455
MEDICA
—
01
—
57G40HA
BCBS
—
05
—
67592000
—
MN
01
—
922241013982
PREFERRED ONE
—
01
—
HP34992
HEALTH PARTNERS
—
Enumeration date
06/20/2006
Last updated
01/27/2010
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