Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackson Rottier

Individual provider Physician Assistant · NPI 1679400279

Jackson Rottier is a Physician Assistant in Waukesha, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

100 N East Ave
Waukesha, WI 53186-3103
Phone: (920) 931-5820
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1679400279
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 6, 2026
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

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