Individual
JOHN ANTHONY ROFFERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2025 E NEWPORT AVE, MILWAUKEE, WI 53211-2906
(414) 961-4161
(414) 967-1778
Mailing address
525 W RIVER WOODS PKWY, STE 240, GLENDALE, WI 53212-1010
(414) 327-0777
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
30078-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110027424
RAILROAD MEDICARE
WI
05
—
31485100
—
WI
Enumeration date
05/31/2006
Last updated
06/28/2016
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