| Doctor Name: | ROBIN KATHLEEN ROSIPKO |
| NPI Number: | 1194105783 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | COA.17533-NP |
| Business Practice Address: | 2495 W Market St Tiffin, OH - 448838450 |
| Business Phone Number: | 4194557790 |
| Business Fax Number: | 4194430036 |
| Mailing Address: | 2495 W Market St, TIFFIN |
| State: | OH |
| Postal Code: | 448838450 |
| Phone Number: | 4194557790 |
| Fax Number: | 4194430036 |
| NPI Enumeration Date: | 06/09/2015 |
| NPI Last Update Date: | 02/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | COA.17533-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: | |