Willock, Roland Oswald

Willock, Roland Oswald is an individual health care provider with primary practice located at 9120 W Capitol Dr , Milwaukee WI 53222-1622. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Willock, Roland Oswald can be contacted via phone (414) 251-3500.

Contact Information

Primary practice address
9120 W Capitol Dr Milwaukee WI 53222-1622
Fax: (414) 251-3504
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23094 Alabama
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21591-875 Wisconsin

Profile Details

NPI number 1053372920
LBN Legal business name Willock, Roland Oswald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Jun 9th, 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 1053372920 NPPES
Alabama MEDICAID 1053372920

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