Individual
GRACE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3232 N BALLARD RD, APPLETON, WI 54911-0003
(920) 729-7105
Mailing address
13440 NEVADA AVE, SAVAGE, MN 55378-3214
(612) 889-5497
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
WI
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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