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Individual

RICHARD K ROSENSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-6000
(734) 246-6990
Mailing address
1640 FORT ST, SUITE D ATTN DENISE, TRENTON, MI 48183-2040
(734) 391-3057
(734) 391-3052

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301055793
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0H24657
BLUE CROSS
MI
01
1457586646
GROUP NPI HENRY FORD WYANDOTTE
05
2679610
MI
01
4301055793
LICENSE
MI
Enumeration date
01/05/2007
Last updated
02/22/2017
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