ROGER AXTELL

NEW BERLIN, WI
NPI1215958178
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: WI  37946)
Enumeration Date2006-07-23
Last Update Date2021-11-18
Business Address
ROGER AXTELL M.D.
2875 S 171ST ST
NEW BERLIN, WI 53151-3511
Phone number: 262-786-3107
Mailing Address
ROGER AXTELL M.D.
2875 S 171ST ST
NEW BERLIN, WI 53151-3511
Phone number: 262-786-3107