Individual
DR. KATIE MARIE ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
19991 HALL RD STE 201, MACOMB, MI 48044
(586) 228-0150
Mailing address
20952 E 12 MILE RD STE 200, SAINT CLAIR SHORES, MI 48081-3203
(586) 771-4820
(586) 771-6620
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
5101020639
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E06273
BCBSM
MI
01
—
CB9133
RAILROAD MEDICARE
MI
Enumeration date
06/30/2013
Last updated
06/27/2018
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