Michael J Roscher Dds, Pa | |
1590 Hastings Ave Newport MN 55055-1646 | |
(651) 459-2387 | |
(651) 459-3259 |
Full Name | Michael J Roscher Dds, Pa |
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Speciality | Clinic/center - Dental |
Location | 1590 Hastings Ave, Newport, Minnesota |
Authorized Official Name and Position | Michael Jay Roscher (OWNER) |
Authorized Official Contact | 6514592387 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Michael J Roscher Dds, Pa 1590 Hastings Ave Newport MN 55055-1646 Ph: (651) 459-2387 | Michael J Roscher Dds, Pa 1590 Hastings Ave Newport MN 55055-1646 Ph: (651) 459-2387 |
NPI Number | 1104906379 |
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Provider Enumeration Date | 10/16/2006 |
Last Update Date | 06/22/2010 |
Identifier | Type | State | Issuer |
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1104906379 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | MN8121 (Minnesota) | Primary |