Individual
DR. GREGORY L ROSLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8198 WALNUT HILL LN STE 7, DALLAS, TX 75231-4316
(214) 345-7885
Mailing address
8200 WALNUT HILL LN, DALLAS, TX 75231-4402
(214) 345-7885
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
P1487
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000480445
ANTHEM
IN
05
—
104890144
—
MI
05
—
200821490
—
IN
01
—
CH5758
RAILROAD GROUP
IN
01
—
P00354703
RAIL ROAD MEDICARE
IN
Enumeration date
05/27/2006
Last updated
02/15/2021
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