SearchMinnesotaIndependent Duty Corpsman

Evan Roubal

NPI 1043571904 · on the registry since 2012

Practice

Address
12054 Mississippi Dr N
Champlin, MN 55316
Phone
(760) 725-5298

Registry record

Primary taxonomy
Independent Duty Corpsman
1710I1002X
Sex
Male
Record last updated
2012-06-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota