CRAIG THOMAS ROELKE


Address: 2603 39th Ave Ne, Suite D-202, Minneapolis, MN 55421-4372
Phone: 6122132370

CRAIG THOMAS ROELKE (NPI# 1922328418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922328418
Entity Type Individual
Full Name CRAIG THOMAS ROELKE
Credential M.D.
Practice Address 2603 39th Ave Ne
Suite D-202
Minneapolis
MN 55421-4372
Practice Telephone 6122132370
Practice Fax Number 6122132370
Mailing Telephone 6122132370
Mailing Fax Number 6122132370
Enumeration Date 2010-06-07
Last Update Date 2014-06-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 54575 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN RAILROAD MEDICARE P01075998 01

Other Providers CRAIG ROELKE

NPI Name Taxonomy Address Enumeration
1750722195 Craig Martin Roelke Psychologist 6063 Hudson Rd, Suite 200, Woodbury, MN 55125-4454 2013-07-15

Office Location

Street Address 2603 39TH AVE NE
SUITE D-202
City MINNEAPOLIS
State MN
Zip Code 55421-4372

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740532340 Clarus Dermatology Pa Dermatology 2603 39th Ave Ne, Suite D-202, Minneapolis, MN 55421-4372 2012-10-05

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NPI Name Taxonomy Address Enumeration
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1710455324 Victoria F Renner Physical Therapist 4512, 3700 Foss Rd, Minneapolis, MN 55421 2018-11-13
1245721976 Complete Care Home Care LLC Home Health 4111 Central Ave Ne North Building, Suite 202, Columbia Heights, MN 55421 2018-05-29
1053816389 Anoka Health Center LLC Clinic/Center 4111 Central Ave N.e, Suite 201 North Building, Columbia Heights, MN 55421 2018-03-28
1508381047 Minnesota Home Health Care LLC Home Health 534 Huset Parkway, Columbia Heights, MN 55421 2017-08-05
1720520448 Tesfa International School Local Education Agency (LEA) 1550 40th Avenue Northeast, Columbia Heights, MN 55421 2016-11-11
1487012548 Icare Transportation Non-emergency Medical Transport (VAN) 2816 Silver Ln Ne #305, Saint Anthony, MN 55421 2016-02-04
1194183368 Warsame Warsame Non-emergency Medical Transport (VAN) 1115 45th Ave Ne, Columbia Heights, MN 55421 2016-02-03
1083083398 Epic Transportation LLC Clinic/Center 355 Orendorff Way Ne, Columbia Heights, MN 55421 2015-09-16
1508281023 Alexandra Marie Hodson Occupational Therapist 5155 E. River Rd, Suite #403, Fridley, MN 55421 2014-02-20
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578982773 Lori Ann Fiessinger Dermatology 420 Delaware Street Se, Mmc 98, Minneapolis, MN 55455 2014-04-15
1033555230 Samuel Blake Ecker Dermatology 3655 Plymouth Blvd Ste 110, Minneapolis, MN 55446-3665 2013-05-14
1295078913 Jessica Jane Newman Dermatology 4-240, Phillips-wangensteen Bldg., 516 Delaware Street S.e., Mail Code 98, Minneapolis, MN 55455 2013-04-01
1124317383 Sara Anne Hylwa Dermatology 730 South 8th Street, Department of Dermatology, Minneapolis, MN 55415 2011-03-28
1063731065 Margareth Pierre-louis Dermatology 5000 W 36th St Ste 205, Minneapolis, MN 55416-2760 2010-05-31
1205841715 Lynda Sue Kauls Dermatology 275 Market St, Suite 215, Minneapolis, MN 55405-1627 2006-07-31
1437178811 John Bergman Dermatology 825 Nicollet Mall Ste 1227, Minneapolis, MN 55402-2702 2006-07-18
1134152218 Maria Kramarczuk Hordinsky Dermatology 516 Delaware Street Se, Clinic 5a, Dermatology Clinic, Minneapolis, MN 55455-0356 2006-07-09
1316986268 Lynn Glesne Dermatology 1425 10th Ave S, Minneapolis, MN 55404-1309 2006-06-06
1710951199 Alexia P Knapp Dermatology 2220 Riverside Ave - Mail Stop 31700a, Healthpartners Riverside Clinic, Minneapolis, MN 55454-1321 2006-02-14
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Competitor

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City MINNEAPOLIS
Zip Code 55421

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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