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Individual
STEPHEN CONRAD ROSEMAN
Active
Individual
STEPHEN CONRAD ROSEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J6035
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050069759
RAILROAD - MEDICARE
TX
05
—
123835402
—
TX
05
—
1368172
—
LA
01
—
8020J9
OUT HARRIS - MEDICARE
TX
01
—
89808B
IN HARRIS - MEDICARE
TX
01
—
89808B
TX-BLUE SHIELD
—
Enumeration date
01/16/2007
Last updated
03/07/2017
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