Individual
MARK F ROTTENBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28300 ORCHARD LAKE RD, SUITE 103, FARMINGTON HILLS, MI 48334-3704
(248) 538-4900
(248) 538-4949
Mailing address
28300 ORCHARD LAKE RD, SUITE 103, FARMINGTON HILLS, MI 78334
(248) 538-4900
(248) 538-4949
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
MR042031
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10040231
—
MI
Enumeration date
12/05/2005
Last updated
07/08/2007
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