Waage, Roger K.

Waage, Roger K. is an individual health care provider with primary practice located at 330 N 8Th Ave E , Duluth MN 55805-2024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Waage, Roger K. can be contacted via phone (218) 723-1112.

Contact Information

Primary practice address
330 N 8Th Ave E Duluth MN 55805-2024
Phone: (218) 723-1112
Fax: (218) 723-0015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23375 Minnesota

Profile Details

NPI number 1942299227
LBN Legal business name Waage, Roger K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942299227 NPPES
Wisconsin MEDICAID 30226800
Wisconsin Other C005
Wisconsin Other 8T142WA
Wisconsin Other HP22430
Wisconsin Other CN1040796006
Wisconsin Other 01-15943

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