Individual
MR. PHILLIP JAY ROSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 ORCHARD LAKE RD, PONTIAC, MI 48341-2244
(248) 624-3812
(248) 624-0368
Mailing address
114 ORCHARD LAKE RD, PONTIAC, MI 48341-2244
(248) 624-3812
(248) 624-0368
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1883825
—
MI
Enumeration date
01/12/2011
Last updated
01/12/2011
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