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Individual

MR. DREW A ROENNEBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
601 NEW JERSEY AVE NW STE 200, WASHINGTON, DC 20001-3030
(202) 204-7092
(415) 252-7176
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
(608) 283-7160

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4745-23
WI
363A00000X
Physician Assistant
Primary
PA200001866
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1952952921
WI
Enumeration date
09/21/2019
Last updated
03/14/2025
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