Natalie S Roholt, MD
Dermatology in Bemidji, MN. Individual provider (NPI-1).
NPI number1215958434
StatusActive
Last updated in NPPESMar 25, 2022
Details
- NPI
- 1215958434
- Entity type
- Individual (NPI-1)
- Name
- Natalie S Roholt
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2006
- Certification date
- Mar 25, 2022
- Last updated
- Mar 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 38310 | MN | Yes |
Practice location
1611 Anne St NwBemidji, MN 56601-5114
Phone 218-333-2020 · Fax 218-333-2019
Mailing address
1611 Anne St NwBemidji, MN 56601-5114
Phone 218-333-2020 · Fax 218-333-2019
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