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Contact Information

ROGER GABRIEL, PA-C
2901 W KINNICKINNIC RIVER PKWY
#310
MILWAUKEE, WI53215-3677
 Phone: 414-649-3990
 Fax: 414-649-3969
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ROGER GABRIEL · (Male)

NPI Number 1366421133
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/11/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 25
  • WI Medicaid 42929700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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