Organization · Type 2 NPI
Mariano L. Rosales Jr., M.d. S.c.
Clinic/Center · Waupun, WI
NPI number
1386832228
Active
Practice location
600 Fern St
Waupun, WI 53963-1018
Fax (920) 324-0258
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | 2190120 (WI) |
| Clinic/Center Primary | 261Q00000X | 2190620 (WI) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 other providers at this address
About NPI 1386832228
Mariano L. Rosales Jr., M.d. S.c.'s National Provider Identifier is 1386832228, issued on Oct 4, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Waupun, WI. The record was last updated on Oct 4, 2007.