Individual
STEPHEN P ROESLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
328 S STILLAGUAMISH AVE, ARLINGTON, WA 98223
(360) 435-6641
(360) 618-7663
Mailing address
1400 E. KINCAID STREET, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00046167
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016286
—
WA
01
—
354592
LABOR & INDUSTRIES
WA
Enumeration date
05/16/2006
Last updated
06/25/2018
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