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Individual
MS. MARILYN ANN ROTHENBERG
Active
Individual
MS. MARILYN ANN ROTHENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704123676
MI
367A00000X
Advanced Practice Midwife
Primary
4704123676
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4208662890
BCBS PIN
MA
05
—
4807836
—
MI
Enumeration date
06/04/2006
Last updated
08/16/2019
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