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Contact Information

ROAN S PRECILLA, MD
8450 SEASONS PKWY
MAIL STOP 32900A
WOODBURY, MN55125
 Phone: 651-702-5300
 Fax: 651-702-5305
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ROAN S PRECILLA · (Female)

NPI Number 1811968480
Status Active
Credentials MD
Entity Individual
Enumeration date 01/31/2006
Last updated 08/16/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 40512
  • MN Medicaid 015525000
Hospital affiliation(s)
  • REGIONS HOSPITAL - (Acute Care)
    640 JACKSON STREET
    SAINT PAUL, MN 55101
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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