Individual
DR. DANIEL TODD ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2716 ASHTON DR, WILMINGTON, NC 28412-2489
(910) 332-3800
(910) 251-0421
Mailing address
2716 ASHTON DR, WILMINGTON, NC 28412-2489
(910) 332-3800
(910) 251-0421
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
200200790
NC
207XS0117X
Orthopaedic Surgery of the Spine Physician
200200790
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200200790
MEDICAL LICENSE
NC
05
—
5915497
—
NC
01
—
P00897683
RR MEDICARE
—
Enumeration date
08/18/2005
Last updated
11/14/2019
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