Individual
ROGER DEAN LOVELACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1000 OAK AVE., MARSHFIELD, WI 54449-5777
(715) 389-7796
Mailing address
1000 OAK AVE., MARSHFIELD, WI 54449-5777
(715) 389-7796
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1991
WI
Other
Enumeration date
07/14/2006
Last updated
11/17/2022
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