Individual
SCOTT A ROGALSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904
(920) 303-2101
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8510-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100079671
—
WI
Enumeration date
07/19/2018
Last updated
07/28/2024
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