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Individual

LILY GHUMAN RODGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2600 65TH AVE, OSCEOLA MEDICAL CENTER, OSCEOLA, WI 54020-4370
(715) 294-2111
Mailing address
2600 65TH AVE, OSCEOLA MEDICAL CENTER, OSCEOLA, WI 54020-4370
(715) 294-2111

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
52352
MN
207Q00000X
Family Medicine Physician
Primary
54593-020
WI

Other

Enumeration date
04/14/2008
Last updated
01/23/2012
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