Individual
DR. SANDRA C ROLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
611 E DOUGLAS RD STE 200, MISHAWAKA, IN 46545-1465
(574) 335-6850
(574) 335-0849
Mailing address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
(574) 335-8707
(574) 335-0741
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01062856A
IN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
01062856A
IN
2085R0204X
Vascular & Interventional Radiology Physician
036097741
IL
2085R0204X
Vascular & Interventional Radiology Physician
101028
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102429111
ANTHEM
IN
05
—
200856110
—
IN
Enumeration date
05/11/2006
Last updated
04/10/2025
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