Individual
PAMELA LEA ROGGOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-1000
Mailing address
N2355 DU BORG RD, COLUMBUS, WI 53925-9563
(608) 335-7036
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
152750-30
WI
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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