# SETH ROSENBAUM MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609007384
- **Authorized official:** SETH ROSENBAUM M.D. (PRESIDENT)
- **Authorized official phone:** (952) 346-9523

## Contact information

- **Practice address:** 10800 LYNDALE AVE S, SUITE 232, BLOOMINGTON, MN 55420-5614
- **Practice address phone:** (952) 346-9523
- **Practice address fax:** (952) 346-9531
- **Mailing address:** 10800 LYNDALE AVE S, SUITE 232, BLOOMINGTON, MN 55420-5614
- **Mailing address phone:** (952) 346-9523
- **Mailing address fax:** (952) 346-9531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 1519 | MN | Yes |

## Other

- **Enumeration date:** 07/29/2009
- **Last updated:** 07/29/2009