Individual
ROSS RORTVEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9100 W BELOIT RD, MILWAUKEE, WI 53227-4422
(414) 328-1228
Mailing address
2221 HOLLIDALE DR, APT 207, WAUKESHA, WI 53186-2953
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17447-40
WI
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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