OrganizationActive
Badger Iom, LLC
NPI 1730680539 · Clinical Neurophysiology Physician · Appleton, WI
Provider details
- NPI number
- 1730680539
- Entity type
- Organization
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roxanna Laroque, Director of Client Experience(210) 598-4277
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Neurology Physician2084N0400X
Allopathic & Osteopathic Physicians
- Electrodiagnostic Medicine Physician204R00000X
Allopathic & Osteopathic Physicians
Technologists, Technicians & Other Technical Service Providers
Practice location
4321 W College Ave
Suite 200
Appleton, WI 54914
Phone: (210) 598-4277
Approximate (ZIP-level) locationGet directions
Mailing address
1141 N Loop 1604 E #105-612
San Antonio, TX 78232-0046
Registry dates
- Enumerated
- 2018-02-27
- Last updated
- 2022-08-12
- Certified
- 2022-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.