Individual
DR. JEFFREY DALE ROSENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
18618 MIDDLEBELT RD, SUITE #102, LIVONIA, MI 48152-3586
(248) 476-1010
(248) 476-9239
Mailing address
18618 MIDDLEBELT RD, SUITE #102, LIVONIA, MI 48152-3585
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101008667
MI
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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