| Doctor Name: | FABIAN GLEN ROSEL |
| NPI Number: | 1174925838 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP-C |
| License Number: | COA.16408-NP |
| Business Practice Address: | 107 Main St Wintersville, OH - 439533733 |
| Business Phone Number: | 7402662930 |
| Business Fax Number: | 7402662931 |
| Mailing Address: | 107 Main St, WINTERSVILLE |
| State: | OH |
| Postal Code: | 439533733 |
| Phone Number: | 7402662930 |
| Fax Number: | 7402662931 |
| NPI Enumeration Date: | 09/24/2014 |
| NPI Last Update Date: | 02/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | COA.16408-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |