Individual
ANDIE ALEXANDRA ROCKENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9697 SAINT CATHERINES DR STE 101, PLEASANT PRAIRIE, WI 53158-2118
(262) 653-5330
Mailing address
507 N 17TH ST, MILWAUKEE, WI 53233-2104
(414) 288-5688
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8130
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/01/2024
Last updated
12/13/2024
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