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TY ROSEBERRY, PA

PA

Physician Assistant

NPI: 1487604948IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

10000768A(IN)19182(CA)

CMS Specialties

Education

OTHER

Class of 2003

Contact & Hours

Address
1801 N SENATE BLVD, 200
INDIANAPOLIS, IN 46202

Quick Facts

NPI
1487604948
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
23

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