Individual
DR. GUY RAOUL ROSENSCHEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5230 WILLOW CREEK DR, SUITE 201, SPRINGDALE, AR 72762-0876
(479) 927-3100
(479) 927-3131
Mailing address
PO BOX 6220, SPRINGDALE, AR 72766-6220
(479) 927-3100
(479) 927-3131
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
2000150873
MO
2086S0120X
Pediatric Surgery Physician
Primary
E3246
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100224750A
—
OK
05
—
140114001
—
AR
01
—
18920000000
QUALCHOICE
AR
05
—
200387580B
—
KS
05
—
204878001
—
MO
01
—
2718271
CIGNA
AR
01
—
45052125072764A003
CHAMPUS/TRICARE
AR
01
—
515046
HEALTHLINK
AR
01
—
5L780
BLUE CROSS/BLUE SHIELD
AR
Enumeration date
07/28/2006
Last updated
12/03/2009
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