Individual
DR. ROSS S ROYSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2205 N SHERMAN AVE, MADISON, WI 53704-3310
(608) 244-0044
Mailing address
2205 N SHERMAN AVE, MADISON, WI 53704-3310
(608) 244-0044
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1619
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38767400
—
WI
01
—
391545009
TAX ID
WI
01
—
391545009014
BCBS
WI
Enumeration date
02/06/2006
Last updated
09/13/2011
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