Individual
DR. ROGER V BRANHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1035 N MAIN ST, RICE LAKE, WI 54868-1260
(715) 234-9018
(715) 236-7535
Mailing address
11040 N STATE ROAD 77, HAYWARD, WI 54843-3606
(715) 234-9018
(715) 236-7535
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
18971
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2055052
—
MN
05
—
30189200
—
WI
05
—
32708700
—
WI
Enumeration date
10/03/2006
Last updated
04/01/2021
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