| Doctor Name: | DR. MIROSLAW K ROGALSKI |
| NPI Number: | 1598868630 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 27310-020 |
| Business Practice Address: | 21425 Spring St Union Grove, WI - 531829707 |
| Business Phone Number: | 2628782411 |
| Business Fax Number: | 2628782922 |
| Mailing Address: | 21425 Spring St, UNION GROVE |
| State: | WI |
| Postal Code: | 531829707 |
| Phone Number: | 2628782411 |
| Fax Number: | 2628782922 |
| NPI Enumeration Date: | 09/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RA0000X |
| License Number: | 27310-020 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |