Individual
KARL PHILIP ROOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1230 EAST MAIN STREET, MANKATO, MN 56002
(507) 625-1811
(507) 385-4008
Mailing address
1230 EAST MAIN STREET, MANKATO, MN 56002
(507) 625-1811
(507) 385-4008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
46174
CO
207R00000X
Internal Medicine Physician
7299347-1205
UT
207RN0300X
Nephrology Physician
Primary
54890
MN
207RN0300X
Nephrology Physician
7299347-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
TL-1590
CO
Other
Enumeration date
01/30/2007
Last updated
07/15/2020
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