Individual
JANINE ELAINE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3261
(715) 483-0507
Mailing address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3261
(715) 483-0507
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20654-875
WI
207Q00000X
Family Medicine Physician
39866
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375525800
—
MN
Enumeration date
04/12/2006
Last updated
04/26/2021
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