Individual
DEANNE K ECCLES ROTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8932
Mailing address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8932
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
40546-020
WI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
40546-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932163110
—
WI
Enumeration date
04/14/2006
Last updated
11/11/2020
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