NPI 1902142755
Ryan Michael Derose, DPT
Practice location
- Address
- 2500 Overlook Ter, Madison, WI 53705-2254
- Phone
- (608) 280-7036
- Fax
- (608) 280-7079
Registered specialties
Rehabilitation Hospital
Primary
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.