Individual
JOSEPH ROSE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50004359
OH
363A00000X
Physician Assistant
5601012275
MI
363AS0400X
Surgical Physician Assistant
10004872A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137825
—
OH
Enumeration date
06/23/2015
Last updated
06/24/2025
Update your record
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