Individual
DR. DEREK JAMES ROGNLIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1020 MENOMONIE ST, EAU CLAIRE, WI 54703-5952
(715) 834-8161
Mailing address
1020 MENOMONIE ST, EAU CLAIRE, WI 54703-5952
(715) 834-8161
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6379-15
WI
Other
Enumeration date
05/22/2009
Last updated
02/22/2015
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