Individual
MR. ROGER A HANDTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
ESSENTIA HEALTH SPOONER CLINIC, 1180 CHANDLER DRIVE, SPOONER, WI 54801
(715) 635-2151
Mailing address
13380 W TREPANIA RD, HAYWARD, WI 54843-2186
(715) 638-5100
(715) 634-6107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02001222A
IN
207Q00000X
Family Medicine Physician
Primary
63316
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100209300
—
IN
Enumeration date
07/05/2006
Last updated
07/21/2022
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