Individual
EMMA AMANDA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
521 BOWMAN AVE., MADISON, WI 53716
(608) 886-0623
(608) 825-3794
Mailing address
521 BOWMAN AVE., MADISON, WI 53716
(608) 886-0623
(608) 825-3794
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3237-23
WI
Other
Enumeration date
10/16/2013
Last updated
01/07/2019
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