Individual
ROGER G LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1905 HUEBBE PKWY, BELOIT, WI 53511-1842
(608) 364-2293
(608) 364-2700
Mailing address
1741 EAST RIDGE ROAD, BELOIT, WI 53511-1842
(608) 365-4119
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
18096020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10650
DEAN HEALTH PLAN HMO
—
05
—
31187700
—
WI
Enumeration date
08/05/2006
Last updated
01/09/2008
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