Individual
DR. WILLIAM M ROETHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 MARTIN LUTHER KING AVE NE, ALBUQUERQUE, NM 87102-3619
(505) 727-8000
Mailing address
601 MARTIN LUTHER KING AVE NE, ALBUQUERQUE, NM 87102-3619
(505) 727-8000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD2006-0621
NM
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301054529
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103311354
—
MI
01
—
WR054529
BC/BS OF MI
MI
Enumeration date
03/28/2006
Last updated
01/23/2025
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