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Individual

DR. BRADLEY H ROSENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
31157 WOODWARD AVE, ROYAL OAK, MI 48073-0926
(248) 336-0123
(248) 336-3190
Mailing address
31157 WOODWARD AVE, ROYAL OAK, MI 48073-0926
(248) 336-0123
(248) 336-3190

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301070359
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
140547
PREFERRED CARE CHOCIES
MI
01
16922
MCARE
MI
01
3406348242
BCBSM INDIVIDUAL ID
MI
05
4849970
MI
05
4973541
MI
01
7754699
AETNA
MI
01
BR070359
BCBSM LICENSE NUMBER
MI
01
H56363
HAP
MI
01
P0330577
RAILROAD MEDICARE
MI
Enumeration date
11/21/2005
Last updated
07/14/2007
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