Individual
BRIAN ROSENAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 ACADEMY RD # 95, CULVER, IN 46511-1234
(574) 842-8476
Mailing address
1300 ACADEMY RD # 95, CULVER, IN 46511-1234
(574) 842-8476
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
049702631
IN
Other
Enumeration date
07/01/2018
Last updated
07/01/2018
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