Individual
RICHARD NONO ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(800) 654-7410
(219) 502-4855
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01041711A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036095306
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME178733
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01630255
BC/BC
IL
05
—
200040940A
—
IN
01
—
220032543
RR MEDICARE
IL
01
—
351173213
SAGAMORE
IN
01
—
6828750001
CIGNA
IN
01
—
82422
BC/BS
IN
Enumeration date
08/25/2005
Last updated
04/15/2026
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