Healthcare Provider Details

I. General information

NPI: 1245470160
Provider Name (Legal Business Name): RHEUMATOLOGY ASSOCIATES, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2009
Last Update Date: 03/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 W KK RIVER PKWY 375
MILWAUKEE WI
53215-3669
US

IV. Provider business mailing address

2801 W KK RIVER PKWY 375
MILWAUKEE WI
53215-3669
US

V. Phone/Fax

Practice location:
  • Phone: 414-672-8550
  • Fax: 414-672-8551
Mailing address:
  • Phone: 414-672-8550
  • Fax: 414-672-8551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number35249
License Number StateWI

VIII. Authorized Official

Name: DR. DANIEL H ROSLER
Title or Position: PRESIDENT
Credential: MD
Phone: 414-672-8550