Charles Howard Rose, MD
Internal Medicine in Bloomington, IN. Individual provider (NPI-1).
NPI number1477544153
StatusActive
Last updated in NPPESSep 22, 2011
Details
- NPI
- 1477544153
- Entity type
- Individual (NPI-1)
- Name
- Charles Howard Rose
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2005
- Last updated
- Sep 22, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 01054413A | IN | Yes |
Practice location
2205 W Sudbury DrSuite A
Bloomington, IN 47403-3737
Phone 812-961-1540 · Fax 812-961-1535
Mailing address
2205 W Sudbury DrSuite A
Bloomington, IN 47403-3737
Phone 812-961-1540 · Fax 812-961-1535
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