Individual
STEPHEN L ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3700 WASHINGTON AVE, EVANSVILLE, IN 47750-0001
(812) 485-4347
(812) 471-6650
Mailing address
PO BOX 3186, EVANSVILLE, IN 47731-3186
(812) 471-1591
(812) 471-6650
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01033947A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00199621
RAIL ROAD MEDICARE
—
Enumeration date
09/20/2005
Last updated
01/07/2008
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