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Individual

DR. ROSANNE LINDA BOSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1205 S GRANGE AVE, STE 307, SIOUX FALLS, SD 57105-0407
(605) 328-7899
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
23627
NE
208000000X
Pediatrics Physician
Primary
8546
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23627
STATE MEDICAL LICENSE
NE
Enumeration date
11/08/2006
Last updated
11/12/2012
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