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Individual

DR. ROGER A PELLMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
W178N9912 RIVERCREST DR, SUITE 102, GERMANTOWN, WI 53022-4645
(262) 255-4500
(262) 255-6500
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 423-4100
(414) 423-4134

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25006020
WI
2085R0204X
Vascular & Interventional Radiology Physician
25006020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30494100
WI
Enumeration date
07/19/2006
Last updated
03/17/2009
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