Individual
ROBERT ROTHBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036.153199
IL
207N00000X
Dermatology Physician
Primary
3873-320
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100284235
—
WI
Enumeration date
06/03/2016
Last updated
11/05/2024
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