Individual
BARRY L ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 MEMORIAL DR, STE 2000, BERLIN, WI 54923-1243
(920) 361-5340
(920) 361-5335
Mailing address
225 MEMORIAL DR, STE 2000, BERLIN, WI 54923-1243
(920) 361-5340
(920) 361-5335
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
24248
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30416700
—
WI
Enumeration date
12/28/2005
Last updated
10/24/2014
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