Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rolla Clinic, PC

Organization Family Medicine Physician · NPI 1215948435

Rolla Clinic, PC is a Family Medicine Physician in Rolla, North Dakota. Licensed in North Dakota. Registered with an NPI since 2006.

Licensed in
ND
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

114 3rd St NE
Rolla, ND 58367-7137
Phone: (701) 477-3111
Fax: (701) 477-6342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 9041 (ND)

Record details

NPI number1215948435
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official June Banse — Administrator · (701) 477-3111
NPI enumeratedAugust 11, 2006
Last updated in NPPESApril 21, 2010
Mailing addressPo Box 699, 114 Ne 3rd St, Rolla, ND 58367-7137

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