Individual
DR. LARRY ALLEN ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2024 LINDBERG RD, ANDERSON, IN 46012-2716
(765) 643-2987
(765) 640-0079
Mailing address
7301 E 90TH ST, SUITE 112, INDIANAPOLIS, IN 46256-7206
(317) 773-7787
(317) 773-2226
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000459A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100172400A
—
IN
01
—
508770010
MEDICARE
—
Enumeration date
01/26/2007
Last updated
07/14/2016
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