Mark M Roeser is a Surgical in Detroit, Michigan. Mark M Roeser practices all healthcare services and medical treatments related to Surgical. The NPI Number for Mark M Roeser is 1194751693. The last update date is 2008-07-25.
Mark M Roeser's current location address is 6071 W Outer Dr, Detroit, Michigan. You can contact this provider via phone number 3139663300 and fax number 8107658169. The mailing address for Mark M Roeser is 6071 W Outer Dr, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark M Roeser |
|---|---|
| Address | 6071 W Outer Dr, Detroit, Michigan |
| Phone Number | 3139663300 |
| Fax Number | 8107658169 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1194751693 |
|---|---|
| Provider Enumeration Date | 2006-06-25 |
| Last Updated Date | 2008-07-25 |
Provider Mailing Address Detail
| Address | 6071 W Outer Dr |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482352624 |
| Phone Number | 3139663300 |
| Fax Number | 8107658169 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1044525 | MI | NCCPA |
Post Comment/ Review Below
What is the unique identifier code issued to Mark M Roeser by the Centers for Medicare & Medicaid Services?
The Mark M Roeser has been assigned the NPI (National Provider Identifier) 1194751693. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark M Roeser?
The Mark M Roeser is situated at 6071 W Outer Dr, in the city of Detroit, state of MI, with the zip code 482352624.
What is Mark M Roeser's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark M Roeser's area of specialization is Surgical, and the corresponding taxonomy code that categorizes this field of practice is 363As0400X.
When was the Mark M Roeser's 1194751693 issued?
The Mark M Roeser's 1194751693 was issued on 2006-06-25.
When was the Mark M Roeser's information last updated?
The Mark M Roeser's information was last updated on 2008-07-25.