Individual
ROGER STANLEY KILBOURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
WHITE EARTH INDIAN HEALTH CENTER, 40520 COUNTY HIGHWAY 34, OGEMA, MN 56569-9612
(218) 983-4300
(218) 983-6217
Mailing address
40520 COUNTY HIGHWAY 34, OGEMA, MN 56569-9612
(218) 983-4300
(218) 983-6217
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101014954
MI
207Q00000X
Family Medicine Physician
Primary
DO177082
OR
Other
Enumeration date
04/04/2006
Last updated
09/04/2020
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