Dr. Matthew Joseph Roller
Neurologist
1300 S Columbia Rd
Grand Forks
, North Dakota 58201
Dr. Matthew Joseph Roller
Neurologist
1300 S Columbia Rd
Grand Forks
, North Dakota 58201
(701) 780-1891
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Dr. Matthew Joseph Roller
- 2401 Demers Ave
- Grand Forks, ND
- Zip : 58201
- Phone : (701) 780-1891
Second Address
- Dr. Matthew Joseph Roller
- 1300 S Columbia Rd
- Grand Forks, ND
- Zip : 58201
- Phone : (701) 780-2300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | 10400 | ND |
| N | 2084N0400X | Neurologist | 50324 | MN |
National Provider Identifier
| NPI | 1033283379 |
|---|---|
| Provider Name | Dr. Matthew Joseph Roller |
| First Address | Grand Forks, ND 58201 |
| Second Address | Grand Forks, ND 58201 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/11/2006 |
| Last Update Date | 27/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I66302 | (02) | 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.