Individual
RICHARD FREDERICK ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
970 E WASHINGTON ST, STE 102, MEDINA, OH 44256-3332
(330) 722-1610
(330) 722-1610
Mailing address
970 E WASHINGTON ST, STE 102, MEDINA, OH 44256-3332
(330) 722-1610
(330) 722-1610
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35040545
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0454600
—
OH
Enumeration date
12/16/2005
Last updated
12/10/2009
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