Individual
DR. WILLIAM ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
112 SAINT OLAF AVE S, CANBY, MN 56220-1433
(507) 223-7221
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
036085566
IL
208800000X
Urology Physician
Primary
26970
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055038
—
IA
05
—
0904144
—
IA
01
—
1346229192
NPI# UROLOGICAL ASSC PC
IA
01
—
1346229192
NPI# UROLOGICAL ASSC PC
IL
01
—
340005330
MEDICARE RAILROAD
IA
01
—
340019106
MEDICARE RAILROAD
IL
Enumeration date
05/24/2005
Last updated
07/28/2021
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