Individual
ZACHARY MICHAEL ROTHENHOEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5729 HWY 175, HARTFORD, WI 53027-9444
(262) 397-6887
Mailing address
5729 HWY 175, HARTFORD, WI 53027-9444
(262) 397-6887
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7017
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/14/2021
Last updated
08/04/2022
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