Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 47790 | WI |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 47790 | WI |
NPI | 1497833438 |
---|---|
Provider Name | Dr. Stephen Graham Rommelfanger |
First Address | Milwaukee, WI 53213-1016 |
Second Address | Milwaukee, WI 53215-3669 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 03/12/2021 |