Provider Demographics
NPI:1982714275
Name:CARPITA-ELMER, ROSANNA A (MD)
Entity Type:Individual
Prefix:MRS
First Name:ROSANNA
Middle Name:A
Last Name:CARPITA-ELMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:ROSANNA
Other - Middle Name:A
Other - Last Name:CARPITA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8532 W CAPITOL DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53222-1848
Mailing Address - Country:US
Mailing Address - Phone:414-463-2607
Mailing Address - Fax:414-463-6743
Practice Address - Street 1:10500 W LOOMIS RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132-8030
Practice Address - Country:US
Practice Address - Phone:414-529-9261
Practice Address - Fax:414-529-9278
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI44610208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44610OtherMD LICENSE