Provider Demographics
NPI:1235180175
Name:OSKVIG, ROGER MELVIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ROGER
Middle Name:MELVIN
Last Name:OSKVIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:990 SOUTH AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-2740
Mailing Address - Country:US
Mailing Address - Phone:585-341-6775
Mailing Address - Fax:585-341-8310
Practice Address - Street 1:990 SOUTH AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-2740
Practice Address - Country:US
Practice Address - Phone:585-341-6775
Practice Address - Fax:585-341-8310
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY178365207RG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine