Individual
DR. JASON K ROSENBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
759 45TH ST STE 201, MUNSTER, IN 46321-2939
(219) 836-4669
(219) 836-3046
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000963A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
07000963A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200440750
—
IN
01
—
207020A
MEDICARE
IN
Enumeration date
06/27/2006
Last updated
05/22/2025
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