Individual
DR. ROBERT J ROSWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3318 N 14TH ST, BISMARCK, ND 58503-1614
(701) 323-8300
(701) 323-8875
Mailing address
401 N 9TH ST, BISMARCK, ND 58501-4507
(701) 530-6000
(701) 530-6430
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5204
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080174391
MEDICARE RAILROAD
ND
05
—
15134
—
ND
Enumeration date
06/08/2006
Last updated
04/24/2019
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