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MICHAEL FITZGERALD ROLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-3703
(434) 924-9400
(434) 982-1618
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
(434) 295-1000

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101248850
VA
2085R0202X
Diagnostic Radiology Physician
01079280A
IN
2085R0202X
Diagnostic Radiology Physician
288776
NY
2085R0202X
Diagnostic Radiology Physician
35.131162
OH
2085R0202X
Diagnostic Radiology Physician
4301111995
MI
2085R0202X
Diagnostic Radiology Physician
50464
KY
2085R0202X
Diagnostic Radiology Physician
MD461114
PA
2085R0202X
Diagnostic Radiology Physician
MDR-5717
HI
2085R0202X
Diagnostic Radiology Physician
ME138790
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0237917
OH
05
1033338640001
PA
05
1730316118
MI
05
1730316118
VA
05
300006567
IN
05
7100510170
KY
Enumeration date
06/12/2009
Last updated
01/08/2025
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