Individual
ERIC ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
600 HIGHLAND AVE # 5710, MADISON, WI 53792-0001
(608) 263-0080
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
556723
WI
363AM0700X
Medical Physician Assistant
Primary
5567
WI
Other
Enumeration date
09/13/2021
Last updated
11/02/2021
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