Individual
MICHELLE AYOLA ROETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4151 BLADENSBURG RD, COLMAR MANOR, MD 20722-1928
(301) 699-7700
(301) 779-9001
Mailing address
1150 VARNUM ST NE, WASHINGTON, DC 20017
(202) 269-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD035386
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010112500
—
MD
05
—
038312400
—
DC
01
—
P00431129
MEDICARE RAILROAD
DC
Enumeration date
07/13/2006
Last updated
10/22/2018
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