Rolfes-Lo, Mary Jo

Rolfes-Lo, Mary Jo is an individual health care provider with primary practice located at 200 E Ryan Rd , Oak Creek WI 53154-4563. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Rolfes-Lo, Mary Jo can be contacted via phone (414) 570-3590.

Contact Information

Primary practice address
200 E Ryan Rd Oak Creek WI 53154-4563
Phone: (414) 570-3590
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 38588-020 Wisconsin
Allopathic & Osteopathic Physicians / Allergy & Immunology 207RA0201X 38588 Wisconsin

Profile Details

NPI number 1508839838
LBN Legal business name Rolfes-Lo, Mary Jo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Feb 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508839838 NPPES
Wisconsin MEDICAID 32347800

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