Provider Demographics
NPI:1730316118
Name:ROLEN, MICHAEL F (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:F
Last Name:ROLEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 9007
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22906-9007
Mailing Address - Country:US
Mailing Address - Phone:434-295-1000
Mailing Address - Fax:412-230-8215
Practice Address - Street 1:1215 LEE ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22908-3703
Practice Address - Country:US
Practice Address - Phone:434-924-9400
Practice Address - Fax:434-982-1618
Is Sole Proprietor?:No
Enumeration Date:2009-06-12
Last Update Date:2024-01-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY504642085R0202X
OH35.1311622085R0202X
PAMD4611142085R0202X
FLME1387902085R0202X
HIMDR-57172085R0202X
MI43011119952085R0202X
NY2887762085R0202X
IN01079280A2085R0202X
VA01012488502085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1033338640001Medicaid
KY7100510170Medicaid
VA1730316118Medicaid
IN300006567Medicaid
OH0237917Medicaid
MI1730316118Medicaid