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Organization

MICHAEL S ROSEN PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL S ROSEN MD (OWNER)
(928) 680-4233
Entity
Organization

Contact information

Practice address
2082 MESQUITE AVE, SUITE A106, LAKE HAVASU CITY, AZ 86403-6710
(928) 680-4233
(928) 680-6522
Mailing address
PO BOX 2820, LAKE HAVASU CITY, AZ 86405-2820
(928) 680-4233
(928) 680-6522

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30884
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2Z2025
HEALTH NET
05
744632
AZ
01
AZ0767860
BCBS AZ
01
DD0594
RAILROAD MEDICARE
Enumeration date
12/11/2007
Last updated
08/05/2008
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