Individual
DEBORAH ROESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
122 DEMAREE DR, MADISON, IN 47250-4622
(812) 265-9191
(812) 265-1050
Mailing address
122 DEMAREE DR, MADISON, IN 47250-4622
(812) 265-9191
(812) 265-1050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000793A
IN
Other
Enumeration date
11/28/2006
Last updated
12/18/2009
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