Individual
ROGER L GILBERTSON
Active
Individual
ROGER L GILBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
16575
MN
2085R0202X
Diagnostic Radiology Physician
Primary
3152
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12364
—
ND
01
—
1624696
MEDICA
—
01
—
4617
NDBC
—
01
—
895001
PREFERRED ONE
—
01
—
90926GI
MNBC
—
01
—
HP10479
HEALTHPARTNERS
—
Enumeration date
06/28/2006
Last updated
07/08/2007
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