Individual
DR. IRENE MICHELE ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-1100
(253) 968-4646
(253) 968-2608
Mailing address
MADIGAN ARMY MEDICAL CENTER DEPT OF FAMILY, 9040 REID ST., TACOMA, WA 98431-1100
(253) 968-4646
(253) 968-2608
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD00048876
WA
207Q00000X
Family Medicine Physician
0101236930
VA
Other
Enumeration date
01/20/2006
Last updated
11/05/2020
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