Individual
MR. SIMON EDWIN ROSELAAR
Active
Individual
MR. SIMON EDWIN ROSELAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40974-020
WI
207RC0000X
Cardiovascular Disease Physician
Primary
40974-020
WI
207UN0901X
Nuclear Cardiology Physician
40974-020
WI
Other
Enumeration date
05/17/2006
Last updated
03/26/2020
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