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Individual

RICK J ROLLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
125 E SOUTHERN AVE STE 120, MUSKEGON, MI 49442-5041
(231) 672-4950
(231) 672-5519
Mailing address
PO BOX 776982, CHICAGO, IL 60677-6982
(231) 672-2119
(313) 432-7759

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5101027176
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1588224083
MI
Enumeration date
06/17/2019
Last updated
06/29/2023
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