Search › Wisconsin › 251E00000X
Rickey Roach
NPI 1710697818 · on the registry since 2022 · sole proprietor
Practice
- Address
- 2928 N 55th St
Milwaukee, WI 53210 - Phone
- (414) 766-8072
Registry record
- Primary taxonomy
- 251E00000X
251E00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin