Doctor Name: | LINDA S ROSSEL |
NPI Number: | 1649544164 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 34.003468 |
Business Practice Address: | 2230 Olympic St Springfield, OH - 455032737 |
Business Phone Number: | 9373994111 |
Business Fax Number: | |
Mailing Address: | 2230 Olympic St, SPRINGFIELD |
State: | OH |
Postal Code: | 455032737 |
Phone Number: | 9373994111 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2012 |
NPI Last Update Date: | 03/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 34.003468 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |