Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0129X | Vascular Surgeon | 6594 | ND |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 6594 | ND |
NPI | 1033146543 |
---|---|
Provider Name | Roxanne V Newman |
First Address | Sioux Falls, SD 57117-5074 |
Second Address | Fargo, ND 58102-3641 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 03/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1000188 | PREFERRED ONE (01) | |
11664 | NDBC (01) | |
17737 | (05) | ND |
1812524 | MEDICA (01) | |
227563500 | (05) | MN |
2T792NE | MNBC (01) | |
HP16851 | HEALTHPARTNERS (01) |