Individual
DR. AARON ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1516 W MEQUON RD STE 103, MEQUON, WI 53092-3264
(262) 242-0700
(855) 457-1293
Mailing address
PO BOX 639, THIENSVILLE, WI 53092-0639
(262) 242-0700
(855) 457-1293
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
63589-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100052457
—
WI
01
—
63589
STATE LICENSE
WI
Enumeration date
02/10/2015
Last updated
06/19/2019
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