institution
William Paul Roman Jr
Foot & Ankle Surgery Podiatrist in Valparaiso, Indiana
NPI 1891973640

William Paul Roman Jr is a Foot & Ankle Surgery Podiatrist based in Valparaiso, IN and is specialized in Foot & Ankle Surgery. William Paul Roman Jr practices in Valparaiso, IN. The NPI Number for William Paul Roman Jr is 1891973640 and holds a License No. 07001033A (Indiana).

The current practice location address for William Paul Roman Jr is 2308 N Roosevelt Rd, Valparaiso, IN and can be reached out via phone at 219-464-9588 and via fax at 219-462-4470.

Location: 2308 N Roosevelt Rd, Valparaiso, IN, 46383-2773
institution
Provider Profile Details
NPI Number
1891973640
Provider Name
William Paul Roman Jr
Credential
Provider Entity Type
Organization
Address
2308 N Roosevelt Rd, Valparaiso, IN, 46383-2773
Phone Number
219-464-9588
Fax Number
219-462-4470
Provider Enumeration Date
02/04/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200843560A 05 IN
LICENSE 01 IN 07001033A
016-005187 01 IL LICENSE
07001033B 01 IN CONTROLLED SUBSTANCE(CSR)
institution
Provider Business Practice Location Address Details
Address
2308 N Roosevelt Rd
City
State
Zip
46383-2773
Phone Number
219-464-9588
Fax Number
219-462-4470
person
Provider Business Mailing Address Details
Address
2308 N Roosevelt Rd
City
State
Zip
46383-2773
Phone Number
219-464-9588
Fax Number
219-462-4470
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
07001033A (Indiana)
Definition
Definition to come...
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