Individual
MICHAEL ROESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1598
(608) 324-2000
Mailing address
S51W23773 TURNERS PIKE W, WAUKESHA, WI 53189-7948
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
77753-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2020
Last updated
04/12/2023
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