Individual
CRAIG THOMAS ROELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
49725 COUNTY 83, STAPLES, MN 56479-5280
(218) 894-1515
(218) 894-8403
Mailing address
49725 COUNTY 83, STAPLES, MN 56479-5280
(218) 894-1515
(218) 894-8403
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
54575
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01075998
RAILROAD MEDICARE
MN
Enumeration date
06/07/2010
Last updated
11/08/2024
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