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Individual

MEGAN ROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1111 DELAFIELD ST STE 215, WAUKESHA, WI 53188-3403
(262) 542-2594
Mailing address
1111 DELAFIELD ST STE 215, WAUKESHA, WI 53188-3403
(262) 542-2594

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5555-33
WI

Other

Enumeration date
10/22/2013
Last updated
10/22/2013
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