OrganizationActive
Mariano L. Rosales Jr., M.D. S.c.
NPI 1386832228 · Clinic/Center · Waupun, WI
Provider details
- NPI number
- 1386832228
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mariano Rosales Jr, President(920) 324-3559
- License
- 2190120 (WI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
600 Fern St
Waupun, WI 53963-1018
Phone: (920) 324-3559
Fax: (920) 324-0258
Street-level locationGet directions
Mailing address
600 Fern St
Waupun, WI 53963-1018
Registry dates
- Enumerated
- 2007-10-04
- Last updated
- 2007-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.