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Organization

MICHAEL J ROSENFELD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL J ROSENFELD MD (OWNER/ PROVIDER)
(641) 236-2500
Entity
Organization

Contact information

Practice address
210 4TH AVE, MAB 3RD FLOOR, GRINNELL, IA 50112-1898
(641) 236-2382
(641) 236-2907
Mailing address
210 4TH AVE, MAB 3RD FLOOR, GRINNELL, IA 50112-1898
(641) 236-2382
(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
WELLMARK BCBS
IA
05
2186049
IA
Enumeration date
08/31/2006
Last updated
08/22/2020
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