Male or Other

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

Provider Address