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Individual

DR. KEVIN PETER ROSTEING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, MSMI

Contact information

Practice address
2126 WILLIAM FRANCIS CT, GREEN BAY, WI 54311-6352
(920) 347-1990
Mailing address
1500 HERITAGE RD, SUITE A, DE PERE, WI 54115-4017
(920) 347-1990
(920) 347-1991

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29168
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
29168
WI STATE LICENCE
WI
Enumeration date
05/04/2009
Last updated
03/07/2023
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