Blaine M Rogers
Contractor, Home Modifications in Monona, WI. Individual provider (NPI-1).
NPI number1164074688
StatusActive
Last updated in NPPESJul 15, 2019
Details
- NPI
- 1164074688
- Entity type
- Individual (NPI-1)
- Name
- Blaine M Rogers
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2019
- Last updated
- Jul 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171WH0202X | Contractor, Home Modifications | 1031164 | WI | Yes |
Practice location
6200 Sylvan LnMonona, WI 53716-3835
Phone 608-234-7440
Mailing address
6200 Sylvan LnMonona, WI 53716-3835
Phone 608-234-7440
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