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

Evan Roubal

Individual provider Independent Duty Corpsman · NPI 1043571904

Evan Roubal is an Independent Duty Corpsman in Champlin, Minnesota. Registered with an NPI since 2012.

In the registry since
2012
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Practice location Address checks out

12054 Mississippi Dr N
Champlin, MN 55316-2110
Phone: (760) 725-5298
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1043571904
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 6, 2012
Last updated in NPPESJune 6, 2012
Mailing address12054 Mississippi Drive, Champlin, MN 55316