MEDICARE: DR. CURTIS A ROHRER DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	6362	MN

General Provider Information

NPI Number	:	1982600391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CURTIS A ROHRER DDS

Provider Business Mailing Address
First Line	:	630 LAWRENCE BLVD E
Second Line	:
City	:	WABASHA
State	:	MN
Zip	:	55981-1415
Country	:	US
Telephone Number	:	651-565-4986
Fax Number	:

Provider Business Practice Location Address
First Line	:	64 W 5TH ST
Second Line	:
City	:	WINONA
State	:	MN
Zip	:	55987-3547
Country	:	US
Telephone Number	:	507-452-3502
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	12/04/2013

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