Individual
NANCY M ROFALIKOS-WELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
818 FORREST DR, WATERFORD, WI 53185-4577
(262) 514-3700
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
49917
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43547900
—
WI
Enumeration date
01/29/2008
Last updated
09/10/2024
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