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1033102926

NPI Code Detail

MEDICARE: RICHARD NONO ROSALES MD

MEDICARE: RICHARD NONO ROSALES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	ME178733	FL
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	036095306	IL
3	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	01041711A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	220032543	OTHER	IL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01630255	OTHER	IL	BC/BC
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	351173213	OTHER	IN	SAGAMORE
5	351173213	OTHER	IN	ISPAT/INLAND
6	82422	OTHER	IN	BC/BS
7	351173213	OTHER	IN	HFN
8	6828750001	OTHER	IN	CIGNA

General Provider Information

NPI Number	:	1033102926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD NONO ROSALES MD

Provider Business Mailing Address
First Line	:	5700 SOUTHWYCK BLVD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-1509
Country	:	US
Telephone Number	:	800-288-8325
Fax Number	:	419-866-5453

Provider Business Practice Location Address
First Line	:	1701 S CREASY LN
Second Line	:
City	:	LAFAYETTE
State	:	IN
Zip	:	47905-4972
Country	:	US
Telephone Number	:	800-654-7410
Fax Number	:	219-502-4855

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	04/15/2026

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Directions to “ RICHARD NONO ROSALES MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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