Individual
EDWARD ESTHER ROSENQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1200 OAKLEAF WAY, SUITE A, ALTOONA, WI 54720-2245
(715) 832-1400
(715) 832-4187
Mailing address
1200 OAKLEAF WAY, SUITE A, ALTOONA, WI 54720-2245
(715) 832-1400
(715) 832-4187
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
837-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01 14469
MEDICA/SELECTCARE EC
WI
01
—
01 14471
MEDICA/SELECTCARE CF
WI
01
—
2400797
UNITED HEALTHCARE
WI
05
—
42956400
—
WI
01
—
44909
SECURITY HEALTH PLAN
WI
01
—
P00171102
RAILROAD
WI
Enumeration date
06/12/2006
Last updated
12/20/2021
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