Individual
MICHAEL A ROTHBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18077 RIVER RD STE 103, NOBLESVILLE, IN 46062-8311
(317) 773-5153
(317) 773-6452
Mailing address
18077 RIVER RD STE 103, NOBLESVILLE, IN 46062-8311
(317) 773-5153
(317) 773-6452
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01060465A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200544180
—
IN
Enumeration date
04/25/2006
Last updated
12/15/2017
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