Individual
DEMETRIUS RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6520 W CAPITOL DRIVE, MILWAUKEE, WI 53216
(414) 243-5067
Mailing address
6315 WEST KEEFE AVENUE PARKWAY, MILWAUKEE, WI 53216
(414) 243-5067
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
—
—
172A00000X
Driver
Primary
—
—
Other
Enumeration date
10/03/2021
Last updated
10/03/2021
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