Individual
DR. ROSALYN ELIZABETH MABEN-FEASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8001 CHALLIS DRIVE, BRIGHTON, MI 48116-7446
(810) 227-9510
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301096137
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346567179
—
MI
01
—
1568653780
GROUP NPI
—
01
—
207V00000X
TAXONOMY CODE
—
Enumeration date
05/04/2010
Last updated
05/27/2020
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