Individual
DR. ROGER W BYHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
VA MEDICAL CENTER, 5000 WEST NATIONAL AVENUE, MILWAUKEE, WI 53295
(414) 805-3666
Mailing address
5000 W NATIONAL AVE, VA MEDICAL CENTER, MILWAUKEE, WI 53295-0001
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
18584
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30155200
—
WI
Enumeration date
05/12/2006
Last updated
07/08/2007
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