Provider Demographics
NPI:1881112886
Name:ROEMMICH, KERI J (PA)
Entity type:Individual
Prefix:
First Name:KERI
Middle Name:J
Last Name:ROEMMICH
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:1702 UNIVERSITY DR S
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-4940
Mailing Address - Country:US
Mailing Address - Phone:701-364-4222
Mailing Address - Fax:
Practice Address - Street 1:510 8TH AVE NE
Practice Address - Street 2:
Practice Address - City:HAZEN
Practice Address - State:ND
Practice Address - Zip Code:58545-4637
Practice Address - Country:US
Practice Address - Phone:701-748-2256
Practice Address - Fax:701-748-2257
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2024-06-03
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant