| Dr Roger Thomas Pacanowski, MD | |
|
6308 8th Ave, Kenosha, WI 53143-5031 | |
| (262) 656-8217 | |
| Not Available |
| Full Name | Dr Roger Thomas Pacanowski |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 6308 8th Ave, Kenosha, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720112030 | NPI | - | NPPES |
| 16095 | Other | WI | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 16095 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roger Thomas Pacanowski, MD 7600 2nd Ave, Kenosha, WI 53143-6067 Ph: (262) 652-5370 | Dr Roger Thomas Pacanowski, MD 6308 8th Ave, Kenosha, WI 53143-5031 Ph: (262) 656-8217 |
Dr. Mustafa Syed Badrudduja, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Suite 3050, Kenosha, WI 53143 Phone: 262-654-7002 Fax: 262-654-6822 | |
Timothy B Lesage, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7380 | |
Jodi L Brehm, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-648-5600 Fax: 262-948-5735 |