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Individual

DR. BERNARD A ROEHR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 JOHN ST, SUITE M-424, KALAMAZOO, MI 49007-5341
(269) 349-3350
(269) 349-2403
Mailing address
601 JOHN ST, SUITE M424, KALAMAZOO, MI 49007-5341
(269) 349-3350
(269) 349-2403

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301051166
MI
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
4301051166
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1811939242
MI
01
2003904251
BCBS IND PIN
MI
01
200C911390
BCBS GRP PIN
MI
01
4366534
AETNA PIN
05
4738176-10
MI
Enumeration date
06/11/2006
Last updated
11/27/2023
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