Individual
DR. SALLY JANE ROSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3150 GILBERT RIDGE DR, WEST BLOOMFIELD, MI 48322-1833
(248) 626-7735
(248) 851-0259
Mailing address
3150 GILBERT RIDGE DR, WEST BLOOMFIELD, MI 48322-1833
(248) 626-7736
(248) 851-0259
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
7718
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138031
PROVIDER I.D. NO.
MI
Enumeration date
06/09/2006
Last updated
06/04/2012
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