National Provider Identifier Database

JOHN P ROSCULET, MD – NPI #1679580070
Retina Specialist

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.


Contact Information

JOHN P ROSCULET, MD
200 THEDA CLARK PLAZA
SUITE 110
NEENAH, WI54956
Phone: 920-751-8666
Fax: 920-751-8676
Website:
Specialty Taxonomy Code
* Retina Specialist 207WX0107X

* Indicates primary specialty

NPI Profile & details for JOHN P ROSCULET

NPI Number 1679580070
Credentials MD
Entity Individual
Enumeration date 08/01/2006
Last updated 12/11/2017 - About 8 years ago
Sole proprietor1 No
Identifiers
  • WI License #: 34273020
  • WI Medicaid: 31922100
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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