Andrew L Rodenburg
Ophthalmologist
200 S 5th St
Bismarck
, North Dakota 58504-5675
Andrew L Rodenburg
Ophthalmologist
200 S 5th St
Bismarck
, North Dakota 58504-5675
(701) 222-3937
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Andrew L Rodenburg
- 200 S 5th St
- Bismarck, ND
- Zip : 58504-5675
- Phone : (701) 222-3937
Second Address
- Andrew L Rodenburg
- 200 S 5th St
- Bismarck, ND
- Zip : 58504-5675
- Fax : (701) 222-8805
- Phone : (701) 222-3937
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 14294 | ND |
National Provider Identifier
| NPI | 1003253634 |
|---|---|
| Provider Name | Andrew L Rodenburg |
| First Address | Bismarck, ND 58504-5675 |
| Second Address | Bismarck, ND 58504-5675 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2013 |
| Last Update Date | 15/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1470530 | (05) | ND |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.