Individual
DR. RICHARD K ROTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 KENMOOR AVE SE, SUITE 100, GRAND RAPIDS, MI 49546-2379
(616) 977-4852
(616) 954-0659
Mailing address
710 KENMOOR AVE SE, SUITE 100, GRAND RAPIDS, MI 49546-2379
(616) 977-5852
(616) 954-0659
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301035323
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
830001755
RR MEDICARE
MI
Enumeration date
08/10/2005
Last updated
04/23/2012
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