Individual
REGAN ROETKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8890 E 116TH ST STE 300, FISHERS, IN 46038-2857
(317) 621-1500
(317) 621-1509
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004085A
IN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/31/2023
Last updated
06/23/2025
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