Individual
JADEN ROTTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(920) 840-3770
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7429-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100264178
—
WI
Enumeration date
02/20/2023
Last updated
09/05/2024
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