Individual provider · Type 1 NPI
Andie Alexandra Rockendorf
Medical Physician Assistant · Pleasant Prairie, WI
NPI number
1043049570
Active
Practice location
9697 Saint Catherines Dr Ste 101
Pleasant Prairie, WI 53158-2118
Mailing address
507 N 17th St
Milwaukee, WI 53233-2104
Other practice locations
- 507 N 17th St, Milwaukee, WI 53233-2104 · (414) 288-5688
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | 8130 (WI) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
About NPI 1043049570
Andie Alexandra Rockendorf's National Provider Identifier is 1043049570, issued on Aug 1, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pleasant Prairie, WI. The record was last updated on Dec 13, 2024.