Provider Demographics
NPI:1396585956
Name:ROSSNER, CARTER WADE (PA)
Entity type:Individual
Prefix:
First Name:CARTER
Middle Name:WADE
Last Name:ROSSNER
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:7 AUTUMN GATE CIR
Mailing Address - Street 2:
Mailing Address - City:MILLBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01527-3024
Mailing Address - Country:US
Mailing Address - Phone:504-451-3248
Mailing Address - Fax:
Practice Address - Street 1:7 AUTUMN GATE CIR
Practice Address - Street 2:
Practice Address - City:MILLBURY
Practice Address - State:MA
Practice Address - Zip Code:01527-3024
Practice Address - Country:US
Practice Address - Phone:504-451-3248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-30
Last Update Date:2024-08-01
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant