Individual
ROGER K RESAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19215
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508180985
—
WI
Enumeration date
03/15/2010
Last updated
04/14/2014
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