Individual
DR. PETER JOHN ROSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, VASCULAR SURGERY/GENERAL SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-9160
(414) 805-9170
Mailing address
9200 W WISCONSIN AVE, VASCULAR SURGERY/GENERAL SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-9160
(414) 805-9170
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
47153
WI
2086S0129X
Vascular Surgery Physician
Primary
47153
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107064
—
IL
05
—
1063450229
—
WI
Enumeration date
06/02/2006
Last updated
07/01/2013
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