Organization
MICHAEL A ROTHBAUM MD LLC
Active
Other names
Rothbaum Eye and Vision
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ADAM ROTHBAUM MD (PHYSICIAN)
(317) 319-9205
Entity
Organization
Contact information
Practice address
18077 RIVER RD STE 103, NOBLESVILLE, IN 46062-8311
(317) 773-5153
Mailing address
611 BRYN MAWR DR, INDIANAPOLIS, IN 46260-4735
(317) 319-9205
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01060465A
IN
Other
Enumeration date
08/08/2017
Last updated
12/15/2017
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