| Dr Mariano L Rosales Jr, MD | |
|
600 Fern St, Waupun, WI 53963-1018 | |
| (920) 324-3559 | |
| (920) 324-0258 |
| Full Name | Dr Mariano L Rosales Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Adolescent Medicine |
| Location | 600 Fern St, Waupun, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982658118 | NPI | - | NPPES |
| 30219800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | 21906 (Wisconsin) | Primary |
| Entity Name | Mariano L Rosales Jr Md Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386832228 PECOS PAC ID: 8527049949 Enrollment ID: O20040601000128 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mariano L Rosales Jr, MD 600 Fern St, Waupun, WI 53963-1018 Ph: (920) 324-3559 | Dr Mariano L Rosales Jr, MD 600 Fern St, Waupun, WI 53963-1018 Ph: (920) 324-3559 |
Bryce Jordan Aul, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 608 W Brown St, Waupun, WI 53963 Phone: 920-926-8472 | |
Dr. Charles G Baynton, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 W Lincoln St, Waupun, WI 53963 Phone: 920-324-5577 Fax: 920-324-6288 | |
Stephen W. Zimmerman, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 608 W Brown St, Waupun, WI 53963 Phone: 920-324-6531 |