ROLF SMART LULLOFF MD
NPI 1104859388
Orthopaedic Surgery in Green Bay, WI

Active since July 09, 2006
1715 DOUSMAN ST, GREEN BAY, WI 54303(920) 496-4700(920) 496-4747 Get Directions Write a Review

NPPES record last updated: July 28, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rolf Smart Lulloff Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROLF SMART LULLOFF MD (NPI 1104859388) is an individual orthopaedic surgery provider in Green Bay, Wisconsin, licensed in Wisconsin (16457) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1104859388
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameROLF SMART LULLOFFCredential: MD
Location Address1715 DOUSMAN STGreen Bay, WI 54303-3211
Mailing AddressPo Box 19070, Prevea HealthGreen Bay, WI 54307-9070 · (920) 496-4700 · Fax (920) 496-4747
Fax(920) 496-4747
Sole ProprietorNo
Enumeration DateJuly 9, 2006
Last NPPES UpdateJuly 28, 2008
NPI 1104859388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in WI · 16457
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1715 DOUSMAN ST, Green Bay, WI 54303

Other Identifiers 3

Medicare ID-Type Unspecified07125-0045
Medicaid30977000WI
Medicare UPINB54700

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
1715 DOUSMAN ST
GREEN BAY, WI 54303
Surgery
1715 DOUSMAN ST
GREEN BAY, WI 54303
Specialist/Technologist, Other (Surgical Assistant)
1715 DOUSMAN ST
GREEN BAY, WI 54303
Nurse Practitioner (Adult Health)
1715 DOUSMAN ST
GREEN BAY, WI 54303
Orthopaedic Surgery
1715 DOUSMAN ST
GREEN BAY, WI 54303
Surgery
1715 DOUSMAN ST
GREEN BAY, WI 54303
Registered Nurse
1715 DOUSMAN ST
GREEN BAY, WI 54303
Pediatrics
1715 DOUSMAN ST
GREEN BAY, WI 54303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rolf Lulloff's NPI number?

The NPI number for Rolf Lulloff is 1104859388. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Rolf Lulloff located?

Rolf Lulloff practices at 1715 Dousman St, Green Bay, WI 54303. The listed phone number is (920) 496-4700.

What is Rolf Lulloff's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Rolf Lulloff was last updated on July 28, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.