Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Paul Gary Rose

Individual provider Contractor · NPI 1821642232

Paul Gary Rose is a Contractor in De Pere, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

N6158 Lambie Rd
De Pere, WI 54115-6705
Phone: (920) 632-7031
Fax: (888) 959-6350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1821642232
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 25, 2019
Last updated in NPPESJuly 25, 2019