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

Mariano L. Rosales Jr , MD SC

Organization Clinic/Center · NPI 1386832228

Mariano L. Rosales Jr , MD SC is a Clinic/Center in Waupun, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Specialties on file
2

Practice location Address checks out

600 Fern St
Waupun, WI 53963-1018
Phone: (920) 324-3559
Fax: (920) 324-0258
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 2190620 (WI)
Clinic/Center Taxonomy 261Q00000X · Licence 2190120 (WI)

Record details

NPI number1386832228
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mariano Rosales Jr — President · (920) 324-3559
NPI enumeratedOctober 4, 2007
Last updated in NPPESOctober 4, 2007
Mailing address600 Fern St, Waupun, WI 53963-1018