Individual
DOUGLAS Y ROESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2325 18TH ST STE 220, COLUMBUS, IN 47201-5389
(812) 372-2245
(812) 375-2156
Mailing address
2325 18TH ST STE 220, COLUMBUS, IN 47201-5389
(812) 372-2245
(812) 375-2156
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1052691A
IN
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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