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Individual

GARY LEE ROSELLE

Active
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Individual

GARY LEE ROSELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-036345
OH
207RI0200X
Infectious Disease Physician
Primary
35-036345
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0377131
OH
05
200147030
IN
05
64761349
KY
Enumeration date
05/03/2006
Last updated
08/10/2017
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