Whalio Doctors

NPI 1902142755

Ryan Michael Derose, DPT

Practitioner Rehabilitation Hospital Madison, WI

Practice location

Address
2500 Overlook Ter, Madison, WI 53705-2254
Phone
(608) 280-7036
Fax
(608) 280-7079

Registered specialties

Rehabilitation Hospital Primary
Hospitals Taxonomy 283X00000X Licence 12121-24 (WI)

Registry record

NPI
1902142755
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Dec 2012
Record last updated
26 Dec 2012

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.