Individual
MR. RICHARD MICHAEL ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8570
(920) 926-8923
Mailing address
1808 W BELTLINE HWY, MADISON, WI 53713-2334
(920) 926-8343
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
173008
NY
207RG0100X
Gastroenterology Physician
Primary
100915-875
WI
207RG0100X
Gastroenterology Physician
173008
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01177215
—
NY
01
—
0552202-009
CIGNA
NY
01
—
29596P
HIP
NY
01
—
41F811
BCBS
NY
01
—
539417
AETNA
NY
01
—
NS1530
OXFORD
NY
Enumeration date
10/30/2006
Last updated
09/07/2023
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