Individual
ANA DE ROO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 UNIVERSITY ROW, MADISON, WI 53705-1311
(608) 242-2800
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
82090-20
WI
208C00000X
Colon & Rectal Surgery Physician
Primary
82090-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
4301107083
MI
Other
Enumeration date
05/18/2015
Last updated
09/11/2023
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