Provider Demographics
NPI:1831286616
Name:ROHR, JOHN M (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:M
Last Name:ROHR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1220 DEWEY AVE.
Mailing Address - Street 2:BLDG 13
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53213-2504
Mailing Address - Country:US
Mailing Address - Phone:414-454-6779
Mailing Address - Fax:414-454-6450
Practice Address - Street 1:1220 DEWEY AVE.
Practice Address - Street 2:BLDG 13
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53213-2504
Practice Address - Country:US
Practice Address - Phone:414-454-6465
Practice Address - Fax:414-454-6789
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI183242084P0800X
WI18324-0202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI3015970Medicaid
WI30159700Medicaid
WI01175-0066Medicare PIN
WI30159700Medicaid
B56125Medicare UPIN
000168149Medicare PIN