Dr. Laurence R. Rothstein M.D.
Full Name
Dr. Laurence Ross Rothstein M.D.
NPI Number
1013915925
NPI Type
Individual Provider
Gender
Male
Enumeration Date
07/13/2005
Specialties
(Taxonomies)Code
207L00000X
207R00000X
Primary Taxonomy
No
No
Licenses
State
Wisconsin
License Number
27313
Contact
Information
Purpose
Mailing
Location
Address
7677 MORAINE RIDGE RD
202 SOUTH PARK STREET
City
Verona
Madison
State
WI
WI
Postal Code
53593-8629
53715
Country
US
US
Telephone Number
(608) 829-1544
(608) 267-6676
Identifiers
Identifier
32896400/31584700
Identifier State
WI
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/09/2007