Individual
KRISTA N ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2801 W KK RIVER PKWY, SUITE 1030, MILWAUKEE, WI 53215-3669
(414) 908-6500
(414) 385-2980
Mailing address
331 N 111TH ST, WAUWATOSA, WI 53226-4112
(262) 894-2088
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2784-23
WI
Other
Enumeration date
08/29/2011
Last updated
01/21/2016
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