Individual
KEVIN ROGACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-4400
(414) 805-4369
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-4400
(414) 805-4369
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
77002
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093235673
—
WI
Enumeration date
06/23/2017
Last updated
03/31/2025
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