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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RYAN MICHAEL DEROSE, DPT

Active Sole Proprietor

RYAN MICHAEL DEROSE, DPT is a Rehabilitation Hospital healthcare provider located in MADISON, Wisconsin. NPI 1902142755 is currently active in the NPPES registry. Verify at CMS.

Rehabilitation Hospital · MADISON, WI

Registration Details

NPI Number
1902142755
Provider Type
Individual
Gender
Male
NPI Issued
Dec 26, 2012 (13.670980712284 yrs)
Last Updated
Dec 26, 2012
License
12121-24 (WI)
Sole Proprietor
Yes

Practice Information

Address
2500 OVERLOOK TER
MADISON, WI, 537052254
Browse WI providers · Browse ZIP 53705
Phone
6082807036
Fax
6082807079
Primary Specialty
Rehabilitation Hospital
283X00000X

Other Rehabilitation Hospital Providers in MADISON, WI

Name Credential NPI
BRIDGET KARI GRACNER OTR 1043501901
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.