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Individual

ETHAN ROSENKE SCHAEFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226
(414) 805-8700
(414) 259-1522
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
129
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1093284861
WI
Enumeration date
11/21/2018
Last updated
02/24/2025
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