Paul Gary Rose

NPI #1821642232 in De Pere, Wisconsin

Provider Information

NPI Number
1821642232
Entity Type
Individual
Name
Paul Gary Rose
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor
Enumeration Date
Jul 25, 2019
Last Updated
Jul 25, 2019

Practice Location

Address
N6158 LAMBIE RD
ZIP Code
54115-6705
Phone
(920) 632-7031

Specialties & Taxonomy Codes

Specialty
Contractor

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