Individual
DR. MICHAEL JAMES ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1595 ALLOUEZ AVE, GREEN BAY, WI 54311-6267
(920) 465-4902
Mailing address
1595 ALLOUEZ AVE, GREEN BAY, WI 54311-6267
(920) 465-4902
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
600105215
WI
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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