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Individual

JONATHAN DUANE ROUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
9006 OHIO ST STE 1, OMAHA, NE 68134-6139
(402) 391-7575
(402) 391-1508
Mailing address
9006 OHIO ST STE 1, OMAHA, NE 68134-6139
(402) 391-7575
(402) 391-1508

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
006670
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.005724
IL

Other

Enumeration date
04/25/2013
Last updated
04/01/2020
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