ROGER GABRIEL PA-C NPI 1366421133

NPI Information

NPI: 1366421133
Provider Name: ROGER GABRIEL, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
2901 W KINNICKINNIC RIVER PKWY
#310
MILWAUKEE, WI
ZIP 53215
Phone: (414) 649-3990
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Roger Gabriel, PA-C is a surgical physician assistant in Milwaukee, WI. Roger Gabriel, PA-C NPI is 1366421133. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2901 W KINNICKINNIC RIVER PKWY
#310
MILWAUKEE, WI
ZIP 53215-677
Phone: (414) 649-3990
Fax: (414) 649-3969

The enumeration date for this NPI number is 1/11/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	25	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	73964025	MEDICARE ID-TYPE UNSPECIFIED
2	R97854	MEDICARE UPIN
3	42929700	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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