Individual provider · Type 1 NPI
Marcus A. Roman, PA-C
Surgical Physician Assistant · La Crosse, WI
NPI number
1609841378
Active
Practice location
1836 South Ave
La Crosse, WI 54601-5429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 85092795 (IL) |
| Surgical Physician Assistant Primary | 363AS0400X | 5045 (WI) |
Surgical Physician Assistant: Definition to come...
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About NPI 1609841378
Marcus A. Roman, PA-C's National Provider Identifier is 1609841378, issued on Feb 17, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in La Crosse, WI. The record was last updated on May 21, 2020.