Individual
HERBERT GEORGE ROEHRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Mailing address
920 60TH ST, KENOSHA, WI 53140-4041
(262) 654-5333
(262) 654-7818
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
29103
WI
2084P0800X
Psychiatry Physician
Primary
29103
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13772
UNITED BEHAVIORAL HEALTH
—
01
—
166412
MANAGED HEALTH NETWORK
—
01
—
280209
VALUE OPTIONS
—
05
—
31400100
—
WI
01
—
4300656
AETNA
—
01
—
82433
CHILDREN'S COMM HLTH PLAN
WI
Enumeration date
02/21/2007
Last updated
05/01/2024
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