Individual
DR. JOHN DAVID ROSDEUTSCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1187 OLD HICKORY BLVD STE 200, BRENTWOOD, TN 37027-4240
(615) 866-2233
(615) 750-5968
Mailing address
1187 OLD HICKORY BLVD STE 200, BRENTWOOD, TN 37027-4240
(615) 866-2233
(615) 750-5968
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
30390
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510486
—
TN
05
—
3716120
—
TN
01
—
6032349
BCBS TN
TN
Enumeration date
10/14/2005
Last updated
03/13/2020
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