Individual
DR. KEISHA DENISE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11211 W LINCOLN AVE, WEST ALLIS, WI 53227-1035
(414) 454-8300
(414) 327-1450
Mailing address
11211 W LINCOLN AVE, WEST ALLIS, WI 53227-1035
(414) 454-8300
(414) 327-1450
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
63358
WI
Other
Enumeration date
04/15/2013
Last updated
10/07/2016
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