Individual
DR. BRIAN DONALD ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5435 FELTL RD, MINNETONKA, MN 55343-7983
(952) 835-9880
(952) 857-1554
Mailing address
5435 FELTL RD, MINNETONKA, MN 55343-7983
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
57632
MN
Other
Enumeration date
07/07/2011
Last updated
07/10/2014
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