Individual
DR. ROSE M CIPRES-JAUCIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1723 SPRING HILLS LN, DE PERE, WI 54115-8369
(920) 403-7982
Mailing address
1723 SPRING HILLS LN, DE PERE, WI 54115-8369
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
01056207A
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
22782-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000603384
ANTHEM PROVIDER NUMBER
IN
01
—
009906261I
HUMANA
—
05
—
200935420
—
IN
05
—
34540600
—
WI
Enumeration date
05/12/2006
Last updated
10/10/2023
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