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Individual

DR. JOHN CHRISTOPHER ROCKWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1010 N WASHINGTON ST, JANESVILLE, WI 53548-1500
(608) 741-6794
Mailing address
1010 N WASHINGTON ST, JANESVILLE, WI 53548-1500
(608) 741-6794

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
046009840
IL
152W00000X
Optometrist
Primary
3093
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38632600
WI
01
P00425081CD3624
RR MEDICARE
WI
Enumeration date
10/18/2006
Last updated
09/28/2011
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