Individual
ROSAMMA T JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
3807 SPRING ST, RACINE, WI 53405-1667
(262) 687-8300
Mailing address
400 W RIVER WOODS PKWY, 3RD FL, GLENDALE, WI 53212-1060
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4060
WI
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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