Healthcare Provider Details

I. General information

NPI: 1730500646
Provider Name (Legal Business Name): ROHRER CENTER LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2013
Last Update Date: 12/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 W 5TH ST
WINONA MN
55987-3547
US

IV. Provider business mailing address

64 W 5TH ST
WINONA MN
55987-3547
US

V. Phone/Fax

Practice location:
  • Phone: 507-452-3502
  • Fax: 507-452-3524
Mailing address:
  • Phone: 507-452-3502
  • Fax: 507-452-3524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number6362
License Number StateMN

VIII. Authorized Official

Name: DR. CURTIS A ROHRER
Title or Position: PRESIDENT
Credential: D.D.S.
Phone: 507-452-3502