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Evan Roubal
Independent Duty Corpsman in Champlin, Minnesota
NPI 1043571904

Evan Roubal is a Independent Duty Corpsman based in Champlin, MN and is specialized in Independent Duty Corpsman. Evan Roubal practices in Champlin, MN. The NPI Number for Evan Roubal is 1043571904 and holds a License No. (Minnesota).

The current practice location address for Evan Roubal is 12054 Mississippi Dr N, Champlin, MN and can be reached out via phone at 760-725-5298.

Location: 12054 Mississippi Dr N, Champlin, MN, 55316
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043571904
Provider Name
Evan Roubal
Credential
Provider Entity Type
Individual
Gender
Male
Address
12054 Mississippi Dr N, Champlin, MN, 55316
Phone Number
760-725-5298
Fax Number
Provider Enumeration Date
06/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12054 Mississippi Dr N
City
Champlin
State
Minnesota
Zip
55316-2110
Phone Number
760-725-5298
Fax Number
person
Provider Business Mailing Address Details
Address
12054 Mississippi Dr N
City
Champlin
State
Minnesota
Zip
55316-2110
Phone Number
760-725-5298
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
Independent Duty Corpsman
Taxonomy
1710I1002X
License No.
()
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
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