Individual
ANDREW CHARLES ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
999 N 92ND ST STE 730, MILWAUKEE, WI 53226-4875
(414) 337-7030
(414) 337-7068
Mailing address
999 N 92ND ST STE 730, MILWAUKEE, WI 53226-4875
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
69089-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2016
Last updated
11/20/2019
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