Shana Widick Rose, M.D.

NPI #1508020645 in Fenton, Missouri

Provider Information

NPI Number: 1508020645
Entity Type: Individual
Name: Shana Widick Rose, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: M.D.
Enumeration Date: Jul 17, 2008
Last Updated: Jan 23, 2015

Practice Location

Address: 1011 BOWLES AVE
Address 2: SUITE 415
City: Fenton
State: Missouri
ZIP Code: 63026-2395
Phone: (636) 717-1700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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Organizations

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