Individual
RONALD E ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
920 ESTATE DRIVE, SUITE 1, MEMPHIS, TN 38119-0601
(901) 382-1113
(901) 767-3480
Mailing address
920 ESTATE DRIVE, SUITE 1, MEMPHIS, TN 38119-0601
(901) 382-1113
(901) 767-3480
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
110
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008082
BLUE CROSS SHIELD OF TN
TN
01
—
2592016
CIGNA
TN
05
—
3350317
—
TN
Enumeration date
08/02/2006
Last updated
07/08/2007
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