Individual
DARREN ROSSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2931 S 108TH ST, WEST ALLIS, WI 53227-3519
(414) 608-2475
Mailing address
2931 S 108TH ST, WEST ALLIS, WI 53227-3519
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
03-153
MD
363AS0400X
Surgical Physician Assistant
Primary
3311
WI
Other
Enumeration date
11/03/2009
Last updated
09/23/2015
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