# SAM ROSEMBERG MD PC

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

## Provider details

- **NPI number:** 1609926856
- **Authorized official:** DR. SAMUEL ROSEMBERG M.D (OWNER)
- **Authorized official phone:** (248) 735-2441

## Contact information

- **Practice address:** 41935 W 12 MILE, STE 308, NOVI, MI 48377
- **Practice address phone:** (248) 735-2441
- **Mailing address:** 41935 W 12 MILE RD, SUITE \#308, NOVI, MI 48377-3111
- **Mailing address phone:** (248) 735-2441
- **Mailing address fax:** (248) 735-2447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | SR036293 | MI | Yes |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 02/22/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4816290 | — | MI |