Dr Robert Roach, MD | |
11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433-2578 | |
(763) 427-1137 | |
Not Available |
Full Name | Dr Robert Roach |
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Gender | Male |
Speciality | Neurological Surgery |
Location | 11850 Blackfoot St Nw, Coon Rapids, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114966637 | NPI | - | NPPES |
263063000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
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207T00000X | Neurological Surgery | 36196 (Minnesota) | Primary |
Entity Name | Metropolitan Neurosurgery Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386690543 PECOS PAC ID: 7214930254 Enrollment ID: O20060814000167 |
Mailing Address | Practice Location Address |
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Dr Robert Roach, MD 11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433-2578 Ph: (763) 427-1137 | Dr Robert Roach, MD 11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433-2578 Ph: (763) 427-1137 |
Joseph Robert Kapurch Ii, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 11850 Blackfoot St Nw Ste 490, Coon Rapids, MN 55433 Phone: 763-427-1137 | |
Dr. Kyle Shaune Nelson, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433 Phone: 763-427-1137 | |
Hart Phillip Garner, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433 Phone: 763-427-1137 Fax: 763-427-4643 | |
Dr. Kyle Michael Uittenbogaard, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433 Phone: 763-427-1137 |