Individual
AMANDA JEAN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9000 W WISCONSIN AVE, DEPARTMENT OF PEDIATRICS, MILWAUKEE, WI 53226-4874
(414) 266-6803
(414) 266-6749
Mailing address
9000 W WISCONSIN AVE, DEPARTMENT OF PEDIATRICS, MILWAUKEE, WI 53226-4874
(414) 266-6803
(414) 266-6749
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
55134
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346483005
—
WI
Enumeration date
04/10/2009
Last updated
03/17/2014
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