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Individual

WILLIAM ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
214 SOUTH 4TH STREET, KREMMLING, CO 80459-0399
(970) 887-5800
Mailing address
5700 DARROW RD, SUITE 106, HUDSON, OH 44236-5021
(330) 656-5911
(330) 656-5901

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17964
WV
207P00000X
Emergency Medicine Physician
35.071985
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0045487000
WV
05
0994714
OH
01
10054130
BWC
WV
01
310917085129
CARESOURCE
OH
Enumeration date
05/05/2006
Last updated
02/06/2020
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