Individual
JEFFREY MICHAEL ROTHENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8414 NAAB RD, INDIANAPOLIS, IN 46260-1972
(317) 338-7510
Mailing address
8414 NAAB RD, INDIANAPOLIS, IN 46260-1972
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01045029A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200101300
—
IN
Enumeration date
06/27/2006
Last updated
12/17/2025
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