Individual
DR. MICHAEL JOHN ROSENFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 4TH AVE, MAB 3RD FLOOR, GRINNELL, IA 50112-1898
(641) 236-2905
(641) 236-2907
Mailing address
210 4TH AVE, MAB 3RD FLOOR, GRINNELL, IA 50112-1898
(641) 236-2905
(641) 236-2907
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
32957
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06847
BCBS PROV #
IA
05
—
2186049
—
IA
01
—
810623397501120000
TRICARE #
IA
01
—
P00120796
RR MEDICARE
IA
Enumeration date
11/07/2005
Last updated
08/17/2007
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