Individual
DR. JONATHAN RICHARD ROSKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 ALBANY ST, BEECH GROVE, IN 46107-1555
(317) 532-7800
(317) 532-7801
Mailing address
14477 TWIN OAKS DR, CARMEL, IN 46032-9725
(317) 846-0736
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01032218A
IN
Other
Enumeration date
09/10/2007
Last updated
03/30/2021
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