Individual
MARK ROSENWASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
47601 GRAND RIVER AVE, B223, NOVI, MI 48374-1233
(248) 465-4800
(248) 465-4872
Mailing address
47601 GRAND RIVER AVE, B223, NOVI, MI 48374-1233
(248) 465-4800
(248) 465-4872
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4301043868
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301043868
CONTROLLED SUBSTANCE
MI
Enumeration date
02/01/2006
Last updated
03/07/2023
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