Healthcare Provider Details

I. General information

NPI: 1255266557
Provider Name (Legal Business Name): ALEXANDER ROSIEJKA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ALEX ROSIEJKA

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 N 92ND ST
MILWAUKEE WI
53226-1202
US

IV. Provider business mailing address

2951 N 90TH ST
MILWAUKEE WI
53222-4612
US

V. Phone/Fax

Practice location:
  • Phone: 920-915-3221
  • Fax:
Mailing address:
  • Phone: 920-915-3321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number102345851
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: