| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 06/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104906379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | MN8121 (Minnesota) | Primary |