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Dr. Roger V Branham, M.D.

Orthopaedic Surgery in Rice Lake, WI. Individual provider (NPI-1).

NPI number1437243151
StatusActive
Last updated in NPPESApr 1, 2021

Details

NPI
1437243151
Entity type
Individual (NPI-1)
Name
Dr. Roger V Branham
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Oct 3, 2006
Certification date
Apr 1, 2021
Last updated
Apr 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery18971WIYes

Practice location

1035 N Main St
Rice Lake, WI 54868-1260

Phone 715-234-9018 · Fax 715-236-7535

Mailing address

11040 N State Road 77
Hayward, WI 54843-3606

Phone 715-234-9018 · Fax 715-236-7535

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