Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Roger Thomas Pacanowski, MD

Individual provider Surgery Physician · NPI 1720112030

Dr. Roger Thomas Pacanowski, MD is a Surgery Physician in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6308 8th Ave
Kenosha, WI 53143-5031
Phone: (262) 656-8217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 16095 (WI)

Record details

NPI number1720112030
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 16, 2007
Last updated in NPPESJuly 8, 2007
Mailing address7600 2nd Ave, Kenosha, WI 53143-6067

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