Individual
ERIC M ROTERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
43599
WI
207Q00000X
Family Medicine Physician
Primary
67487
MN
208D00000X
General Practice Physician
43599
WI
Other
Enumeration date
06/15/2006
Last updated
07/06/2020
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