Provider Demographics
NPI:1760724553
Name:ROLFSEN, MICHAEL LEE JR (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:LEE
Last Name:ROLFSEN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:602 W STATE HIGHWAY 6
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-3977
Mailing Address - Country:US
Mailing Address - Phone:254-870-4522
Mailing Address - Fax:254-870-4601
Practice Address - Street 1:602 W STATE HIGHWAY 6
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-3977
Practice Address - Country:US
Practice Address - Phone:254-870-4522
Practice Address - Fax:254-870-4601
Is Sole Proprietor?:No
Enumeration Date:2013-03-20
Last Update Date:2020-07-26
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Provider Licenses
StateLicense IDTaxonomies
TXQ9898207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology