Mariano L. Rosales Jr., M.d. S.c.

NPI #1386832228 in Waupun, Wisconsin

Provider Information

NPI Number: 1386832228
Entity Type: Organization
Organization Name: Mariano L. Rosales Jr., M.d. S.c.
Primary Specialty: Clinic/Center
Enumeration Date: Oct 4, 2007
Last Updated: Oct 4, 2007

Practice Location

Address: 600 FERN ST
City: Waupun
State: Wisconsin
ZIP Code: 53963-1018
Phone: (920) 324-3559

Authorized Official

Name: DR. MARIANO L ROSALES JR, M.D.
Title: PRESIDENT
Phone: (920) 324-3559

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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