# DR. STUART M ROSENBLUM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1144285982
- **Gender:** Man
- **Credential:** MD, PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | MD13567 | OR | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | MD13567 | OR | Yes |

## Other

- **Enumeration date:** 04/17/2006
- **Last updated:** 09/11/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 050049041 | RR MEDICARE | OR |
| 05 | — | 054554 | — | OR |
| 05 | — | 1123108 | — | WA |
| 05 | — | G505502 | — | ID |
| 05 | — | MD356OR | — | AK |