Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 40673 | WI |
NPI | 1336364546 |
---|---|
Provider Name | James L Rossiter |
First Address | Milwaukee, WI 53222-4404 |
Second Address | Mequon, WI 53092 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2007 |
Last Update Date | 02/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
32499600 | (05) | WI |
F38140 | (02) |