Individual
PETER M ROTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7920 W JEFFERSON BLVD, SUITE 220, FORT WAYNE, IN 46804
(260) 436-5670
(260) 436-4706
Mailing address
7920 W JEFFERSON BLVD, SUITE 220, FORT WAYNE, IN 46804
(260) 436-5670
(260) 436-4706
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
01026818A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100050320A
—
IN
Enumeration date
08/02/2005
Last updated
01/29/2010
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