Individual
MR. ROGER D. COHEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-3518
(414) 805-3666
Mailing address
10000 W INNOVATION DR, MILWAUKEE, WI 53226-4837
(414) 456-7113
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
17508
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30965200
—
WI
Enumeration date
05/10/2006
Last updated
07/08/2007
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