Provider Demographics
NPI:1699945469
Name:ROSE, WILLIAM NICHOLAS (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:NICHOLAS
Last Name:ROSE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:C250 GH
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1007
Mailing Address - Country:US
Mailing Address - Phone:319-356-0333
Mailing Address - Fax:319-356-0331
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:C250 GH
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1007
Practice Address - Country:US
Practice Address - Phone:319-356-0333
Practice Address - Fax:319-356-0331
Is Sole Proprietor?:No
Enumeration Date:2008-03-07
Last Update Date:2021-01-06
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Provider Licenses
StateLicense IDTaxonomies
NY390200000X207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology