Individual
DR. MARTIN ANDERS ROSENGREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-4001
Mailing address
153 MASON WAY, MADISON, MS 39110
(601) 605-4516
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
695-L
MS
207P00000X
Emergency Medicine Physician
A111925
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00482217
—
MS
05
—
1893609
—
LA
Enumeration date
07/09/2007
Last updated
10/15/2024
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