MEDICARE: ROSS L BOSETTI CPO

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	222Z00000X	Orthotist
2	224P00000X	Prosthetist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952498990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSS L BOSETTI CPO

Provider Business Mailing Address
First Line	:	1108 S 17TH AVE
Second Line	:
City	:	WAUSAU
State	:	WI
Zip	:	54401-5709
Country	:	US
Telephone Number	:	715-845-2800
Fax Number	:	715-845-2855

Provider Business Practice Location Address
First Line	:	2926 POST RD
Second Line	:
City	:	STEVENS POINT
State	:	WI
Zip	:	54481-6417
Country	:	US
Telephone Number	:	715-544-4622
Fax Number	:	715-544-4623

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

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	10/10/2008

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Directions to “ ROSS L BOSETTI CPO” Practice Location

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