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Individual

DR. WILLIS ANTHONY ROSENA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
87 MEAD ST, NORTH TONAWANDA, NY 14120-4444
(716) 692-1451
(716) 692-1495
Mailing address
87 MEAD ST, NORTH TONAWANDA, NY 14120-4444
(716) 692-1451
(716) 692-1495

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
006696
NY
213ES0131X
Foot Surgery Podiatrist
006696
NY

Other

Enumeration date
06/25/2009
Last updated
04/16/2015
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