Individual
JEFFREY C ROTHWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
114 GRAND AVE, WAUSAU, WI 54403-6214
(715) 845-7175
(715) 845-7142
Mailing address
114 GRAND AVE, WAUSAU, WI 54403-6214
(715) 845-7175
(715) 845-7142
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2594-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43585900
—
WI
Enumeration date
03/28/2007
Last updated
07/08/2007
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