Individual
JOHN ROOSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
551 LINN ST, SUITE 110, ALLEGAN, MI 49010-1595
(269) 673-2158
(269) 686-2087
Mailing address
551 LINN ST, SUITE 110, ALLEGAN, MI 49010-1595
(269) 673-2158
(269) 686-2087
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301039017
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030774
BCBS
MI
05
—
2091069
—
MI
Enumeration date
10/17/2006
Last updated
12/08/2016
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