Provider Demographics
NPI:1922884121
Name:ROSIN, MADISON HALEY (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:
First Name:MADISON
Middle Name:HALEY
Last Name:ROSIN
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Gender:F
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:2925 DEBARR RD STE 300
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-2974
Mailing Address - Country:US
Mailing Address - Phone:907-279-3155
Mailing Address - Fax:907-279-3154
Practice Address - Street 1:2925 DEBARR RD STE 300
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-2974
Practice Address - Country:US
Practice Address - Phone:907-279-3155
Practice Address - Fax:907-279-3154
Is Sole Proprietor?:No
Enumeration Date:2023-09-04
Last Update Date:2023-11-01
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant