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Individual

DR. ROBERT J ROOSENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
750 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-6049
(616) 949-2600
(616) 365-2076
Mailing address
750 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-6049
(616) 949-2600
(616) 365-2076

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301034077
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1416722
MI
01
180015517
MEDICARE RR
MI
01
180D148331
BCBS
MI
Enumeration date
06/13/2005
Last updated
06/05/2008
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