Individual
MICHAEL ALLEN ROSSETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3422A COURT ST, PEKIN, IL 61554-6235
(309) 477-6000
Mailing address
1716 HUNTERS TRCE, PEKIN, IL 61554-9505
(217) 553-7448
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
209028639
IL
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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