Individual
DR. MICHAEL BARRY ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6303 OLEANDER DR, SUITE #102A, WILMINGTON, NC 28403-3590
(910) 313-1322
(910) 313-1323
Mailing address
6303 OLEANDER DR, SUITE #102A, WILMINGTON, NC 28403-3590
(910) 313-1322
(910) 313-1323
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2531
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08232
BLUE CROSS/BLUE SHIELD
NC
01
—
32283
PARTNERS
NC
05
—
7908232
—
NC
Enumeration date
08/13/2006
Last updated
07/08/2007
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