Roselaar, Simon Edwin

Roselaar, Simon Edwin is an individual health care provider with primary practice located at 5045 W Grande Market Dr , Appleton WI 54913-8517. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Roselaar, Simon Edwin can be contacted via phone (920) 886-9380.

Contact Information

Primary practice address
5045 W Grande Market Dr Appleton WI 54913-8517
Phone: (920) 886-9380
Fax: (920) 886-9381
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 40974-020 Wisconsin
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 40974-020 Wisconsin
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 40974-020 Wisconsin

Profile Details

NPI number 1689626632
LBN Legal business name Roselaar, Simon Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Mar 26th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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