Individual
DR. TODD ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 W 5TH AVE, FLINT, MI 48503-2445
(810) 275-3724
(810) 257-3731
Mailing address
420 W 5TH AVE, FLINT, MI 48503-2445
(810) 275-3724
(810) 257-3731
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
049464
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260B56093
BCBS
MI
05
—
4166893
—
MI
01
—
MH1111119
HEALTHPLUS OF MI
MI
Enumeration date
06/28/2006
Last updated
04/21/2009
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