Individual provider · Type 1 NPI

Roger Gabriel, PA-C

Surgical Physician Assistant · Milwaukee, WI

NPI number 1366421133 Active

Practice location

2901 W Kinnickinnic River Pkwy, #310
Milwaukee, WI 53215-3677

Call (414) 649-3990 Map

Fax (414) 649-3969

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X25 (WI)

Surgical Physician Assistant: Definition to come...

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About NPI 1366421133

Roger Gabriel, PA-C's National Provider Identifier is 1366421133, issued on Jan 11, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 8, 2007.