Individual
MARISA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
3620 S BRENTWOOD RD, NEW BERLIN, WI 53151-5416
(630) 853-5043
Mailing address
3620 S BRENTWOOD RD, NEW BERLIN, WI 53151-5416
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
598-49
WI
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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