Organization
MATT T ROSENBERG PC
Active
Other names
Mid-Michigan Health Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATT ROSENBERG M.D. (PRESIDENT)
(517) 784-9189
Entity
Organization
Contact information
Practice address
214 N WEST AVE, JACKSON, MI 49201-1903
(517) 784-9189
(517) 784-9657
Mailing address
214 N WEST AVE, JACKSON, MI 49201-1903
(517) 784-9189
(517) 784-9657
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301065227
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3388780
—
MI
Enumeration date
11/13/2007
Last updated
11/01/2010
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