Individual
DR. BRAD R ROSHAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
1715 BURNT BOAT DR, BISMARCK, ND 58503-0812
(701) 221-2600
Mailing address
1715 BURNT BOAT DR, BISMARCK, ND 58503-0812
(701) 221-2600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
620
ND
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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