MEDICARE: MELISSA A ROHRER PA C

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	363A00000X	Physician Assistant	085002573	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790787356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA A ROHRER PA C

Provider Business Mailing Address
First Line	:	659 HIGHLAND AVE
Second Line	:
City	:	GLEN ELLYN
State	:	IL
Zip	:	60137-4019
Country	:	US
Telephone Number	:	630-474-9254
Fax Number	:

Provider Business Practice Location Address
First Line	:	603 E PINE ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74106-4849
Country	:	US
Telephone Number	:	918-587-2171
Fax Number	:	918-295-6155

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

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	07/20/2016

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Directions to “ MELISSA A ROHRER PA C” Practice Location

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