Individual
DEBRA MARIE ROEHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
110 OAK ST E, FREDERIC, WI 54837-9574
(715) 327-4208
(715) 327-4232
Mailing address
110 OAK ST E, FREDERIC, WI 54837-9574
(715) 327-4208
(715) 327-4232
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14493-040
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6220480001
MEDICARE PTAN
WI
Enumeration date
03/26/2014
Last updated
03/26/2014
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