Gabriel, Roger

Gabriel, Roger is an individual health care provider with primary practice located at 2901 W Kinnickinnic River Pkwy #310, Milwaukee WI 53215-3677. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Gabriel, Roger can be contacted via phone (414) 649-3990.

Contact Information

Primary practice address
2901 W Kinnickinnic River Pkwy #310 Milwaukee WI 53215-3677
Phone: (414) 649-3990
Fax: (414) 649-3969
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 25 Wisconsin

Profile Details

NPI number 1366421133
LBN Legal business name Gabriel, Roger
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366421133 NPPES
Wisconsin MEDICAID 42929700

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