Individual
ANTHONY W. ROCCISANO
Active
Individual
ANTHONY W. ROCCISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
104526
MN
207XS0117X
Orthopaedic Surgery of the Spine Physician
34.008881
OH
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
52351
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34.008881
OH MEDICAL LICENSE
OH
05
—
ENROLLED
—
MN
Enumeration date
08/10/2007
Last updated
02/28/2022
Update your record
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