RYAN MICHAEL DEROSE

MADISON, WI
NPI1902142755
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy283X00000X Rehabilitation Hospital
(Licence: WI  12121-24)
Enumeration Date2012-12-26
Last Update Date2012-12-26
Business Address
-- RYAN MICHAEL DEROSE DPT
2500 OVERLOOK TER
MADISON, WI 53705-2254
Phone number: 608-280-7036
Mailing Address
-- RYAN MICHAEL DEROSE DPT
2500 OVERLOOK TER
MADISON, WI 53705-2254
Phone number: 608-280-7036
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