Roger K Koopman in White Bear Lake - Physician Assistant
Roger K Koopman - NPI 1023025566
Roger K Koopman is a Physician Assistant in White Bear Lake, Minnesota. Roger K Koopman practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Roger K Koopman is 1023025566. The last update date is 2018-03-17.
Roger K Koopman's current location address is 2730 County Road E E, White Bear Lake, Minnesota. You can contact this provider via phone number 8663892727. The mailing address for Roger K Koopman is 2730 County Road E E, White Bear Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Roger K Koopman |
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Address | 2730 County Road E E, White Bear Lake, Minnesota |
Phone Number | 8663892727 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1023025566 |
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Provider Enumeration Date | 2006-08-01 |
Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
Address | 2730 County Road E E |
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City | White Bear Lake |
State | Minnesota (MN) |
Post Code | 551104963 |
Phone Number | 8663892727 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 9934 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code issued to Roger K Koopman by the Centers for Medicare & Medicaid Services?
The Roger K Koopman has been assigned the NPI (National Provider Identifier) 1023025566 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Roger K Koopman's facilities are situated?
The facilities of Roger K Koopman are physically located at the following address: 2730 County Road E E, White Bear Lake, MN, 551104963.
What is Roger K Koopman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Roger K Koopman is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023025566 to Roger K Koopman?
The Centers for Medicare & Medicaid Services originally issued the 1023025566 to Roger K Koopman on 2006-08-01.
When was the information regarding Roger K Koopman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Roger K Koopman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-03-17.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY