Individual
DR. ROBERT A ROSEBERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
62 N UNION ST, SPARTA, MI 49345-1138
(616) 887-7355
(616) 887-2005
Mailing address
62 N UNION ST, SPARTA, MI 49345-1138
(616) 887-7355
(616) 887-2005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901009880
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4005391
—
MI
Enumeration date
08/09/2006
Last updated
07/08/2007
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