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Individual

GREGORY M. ROSNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5900 S LAKE DR., LAKESHORE MEDICAL CLINIC, CUDAHY, WI 53110-3171
(414) 489-4190
(414) 489-4015
Mailing address
100-15TH AVE., STE 180, SOUTH MILWAUKEE, WI 53172-1160
(414) 768-5430
(414) 762-4225

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
170092
NY
208600000X
Surgery Physician
Primary
32506-20
WI

Other

Enumeration date
11/01/2006
Last updated
10/04/2012
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