Provider Demographics
NPI:1588907711
Name:PAUL, ROSANNE M (DO)
Entity type:Individual
Prefix:
First Name:ROSANNE
Middle Name:M
Last Name:PAUL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2500 W STRUB RD STE 330
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-5390
Mailing Address - Country:US
Mailing Address - Phone:419-626-6700
Mailing Address - Fax:419-626-6700
Practice Address - Street 1:350 FORDING ISLAND RD STE 100
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-5168
Practice Address - Country:US
Practice Address - Phone:843-837-4400
Practice Address - Fax:843-837-4440
Is Sole Proprietor?:No
Enumeration Date:2013-04-06
Last Update Date:2020-12-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC83390207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology