Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVAN ROUBAL
ActiveEVAN ROUBAL is a Independent Duty Corpsman healthcare provider located in CHAMPLIN, Minnesota. NPI 1043571904 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · CHAMPLIN, MN
Registration Details
- NPI Number
- 1043571904
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2012 (14.21865194624 yrs)
- Last Updated
- Jun 6, 2012
Practice Information
- Address
-
12054 MISSISSIPPI DR NCHAMPLIN, MN, 553162110Browse MN providers · Browse ZIP 55316
- Phone
- 7607255298
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.