| NPI | 1932395209 |
|---|---|
| Former Legal Business Name | ROGER C MIXTER MD SC |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE K SCHNEIDER Business Manager 414-963-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2018-01-23 |