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Individual

DR. DAVID J ROHDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD PMHCNS-BC

Contact information

Practice address
2717 N GRANDVIEW BLVD, SUITE 202, WAUKESHA, WI 53188-1672
(262) 513-0700
(262) 513-0707
Mailing address
2717 N GRANDVIEW BLVD, SUITE 202, WAUKESHA, WI 53188-1672
(262) 513-0700
(262) 513-0707

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
101665030
WI
363L00000X
Nurse Practitioner
Primary
348533
WI
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
3485-33
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0235018-01
AMERICAN NURSES CREDENTIALING CENTER
WI
01
3485-33
ADVANCED PRACTICE NURSE PRESCRIBER
WI
05
39403800
WI
01
686150018
MEDICARE
WI
Enumeration date
07/18/2006
Last updated
03/07/2023
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