Individual
DANIEL ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9200 W LOOMIS RD, FRANKLIN, WI 53132-8887
(414) 529-9200
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
66944
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100065016
—
WI
Enumeration date
04/14/2015
Last updated
08/05/2024
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