Individual
DYLAN MICHAEL ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 E BUSINESS WAY, CINCINNATI, OH 45241-2374
(513) 354-3700
(513) 354-3705
Mailing address
6480 HARRISON AVE STE 201, CINCINNATI, OH 45247-7961
(513) 354-7650
(513) 354-7651
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
50.007131RX
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/25/2016
Last updated
09/01/2021
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