Smulka, Roman P

Smulka, Roman P is an individual health care provider with primary practice located at 15245 Bluebird St Nw Mail Stop 39200A Riverway Clinic - Andover, Andover MN 55304-3554. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smulka, Roman P can be contacted via phone (763) 587-4600.

Contact Information

Primary practice address
15245 Bluebird St Nw Mail Stop 39200A Riverway Clinic - Andover Andover MN 55304-3554
Phone: (763) 587-4600
Fax: (763) 587-4615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27033 Minnesota

Profile Details

NPI number 1043284268
LBN Legal business name Smulka, Roman P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jan 21st, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043284268 NPPES
Minnesota MEDICAID 668585400

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