NPI 1043662539

George Augustin Rosnowski

Practitioner Contractor Surprise, AZ

Practice location

Address: 14320 W Mandalay Ln, Surprise, AZ 85379-5782
Phone: (623) 266-2199
Fax: (623) 266-2199

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence AL6166H (AZ)

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Registry record

NPI: 1043662539
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jul 2016
Record last updated: 7 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.