Dr. Robert Roach
Neurosurgeon
11850 Blackfoot St Nw Suite 490
Coon Rapids
, Minnesota 55433-2578
Dr. Robert Roach
Neurosurgeon
11850 Blackfoot St Nw Suite 490
Coon Rapids
, Minnesota 55433-2578
(763) 427-1137
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Dr. Robert Roach
- 11850 Blackfoot St Nw Suite 490
- Coon Rapids, MN
- Zip : 55433-2578
- Phone : (763) 427-1137
Second Address
- Dr. Robert Roach
- 11850 Blackfoot St Nw Suite 490
- Coon Rapids, MN
- Zip : 55433-2578
- Phone : (763) 427-1137
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | 36196 | MN |
National Provider Identifier
| NPI | 1114966637 |
|---|---|
| Provider Name | Dr. Robert Roach |
| First Address | Coon Rapids, MN 55433-2578 |
| Second Address | Coon Rapids, MN 55433-2578 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/06/2006 |
| Last Update Date | 09/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 263063000 | (05) | MN |
| E51192 | (02) | MN |
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.