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Alex Rosencutter

Student in an Organized Health Care Education/Training Program in Wauwatosa, WI. Individual provider (NPI-1).

NPI number1962030262
StatusActive
Last updated in NPPESMar 31, 2020

Details

NPI
1962030262
Entity type
Individual (NPI-1)
Name
Alex Rosencutter
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 31, 2020
Certification date
Mar 31, 2020
Last updated
Mar 31, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–WIYes

Practice location

6505 W North Ave
Wauwatosa, WI 53213-2016

Phone 262-945-9614

Mailing address

6505 W North Ave
Wauwatosa, WI 53213-2016

Phone 262-945-9614

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