Individual
RANDOLPH PAUL ROSENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2745 WEST LAYTON AVENUE, SUITE 100, MILWAUKEE, WI 53221
(414) 282-0503
Mailing address
2745 WEST LAYTON AVENUE, SUITE 100, MILWAUKEE, WI 53221
(414) 282-0503
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5001486015
WI
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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