Individual
MR. DARREN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
5720 S 40TH ST, GREENFIELD, WI 53221-3910
(414) 350-0061
Mailing address
5720 S 40TH ST, GREENFIELD, WI 53221-3910
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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