MEDICARE: JEAN MULLER ROHLAND MD

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	2083X0100X	Occupational Medicine Physician	130678	NY

General Provider Information

NPI Number	:	1245267665
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEAN MULLER ROHLAND MD

Provider Business Mailing Address
First Line	:	790 LINDEN AVE
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14625-2716
Country	:	US
Telephone Number	:	585-385-9030
Fax Number	:	585-385-9124

Provider Business Practice Location Address
First Line	:	2051 W BLOOMFIELD RD
Second Line	:
City	:	BLOOMFIELD
State	:	NY
Zip	:	14469
Country	:	US
Telephone Number	:	585-381-5960
Fax Number	:	585-582-2214

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JEAN MULLER ROHLAND
Credential	:	MD
Telephone Number	:	585-381-5960

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	08/22/2020

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