DR. MARK T ROSZKOWSKI DDS
Surgery Yellow Pages
Burnsville, Minnesota
Provider NPI: 1699750802
Provider Information:DR. MARK T ROSZKOWSKI DDS
Practice Location:
625 E NICOLLET BLVD STE 205 BURNSVILLE, MN 55337 US
Tel: 952-435-0310 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 204E00000X | Physicians Oral & Maxillofacial Surgery | MN | D10761 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS | 317R7RO | MN | 01 |
227315200 | MN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin