Individual
ROSEMARY EBOZUE RERIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT188352
PA
207RN0300X
Nephrology Physician
104383
MN
207RN0300X
Nephrology Physician
52315
MN
207RN0300X
Nephrology Physician
Primary
57237
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
01
—
P00873554
RAILROAD MEDICARE
MN
Enumeration date
05/14/2007
Last updated
05/19/2023
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