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Douglas Y Roese, MD

Specialist in Columbus, IN. Individual provider (NPI-1).

NPI number1699889162
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1699889162
Entity type
Individual (NPI-1)
Name
Douglas Y Roese
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 19, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist1052691AINYes

Practice location

2325 18th St Ste 220
Columbus, IN 47201-5389

Phone 812-372-2245 · Fax 812-375-2156

Mailing address

2325 18th St Ste 220
Columbus, IN 47201-5389

Phone 812-372-2245 · Fax 812-375-2156

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