Individual
ALEX JORDAN REMBIALKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(414) 290-6720
(414) 290-6755
Mailing address
111 E WISCONSIN AVE STE 2000, MILWAUKEE, WI 53202-4809
(414) 290-6720
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006336
IL
363A00000X
Physician Assistant
10003987A
IN
Other
Enumeration date
09/20/2017
Last updated
06/21/2023
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