Organization
LEONARD J. ROSEN, M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD J ROSEN M.D (PHYSICIAN)
(734) 246-7477
Entity
Organization
Contact information
Practice address
30538 FOX CLUB DR, FARMINGTON HILLS, MI 48331-1988
(734) 246-7447
Mailing address
30538 FOX CLUB DR, FARMINGTON HILLS, MI 48331-1988
(734) 246-7447
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
4301033083
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1089146
—
MI
01
—
2608282111
BCBS #
MI
01
—
LR033083
LIC #
MI
Enumeration date
07/06/2006
Last updated
02/01/2011
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