Individual
ROBERT ROSENBAUM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3630 GUION RD, INDIANAPOLIS, IN 46222-1616
(317) 920-7195
(317) 920-7551
Mailing address
3630 GUION RD, INDIANAPOLIS, IN 46222-1616
(317) 920-7195
(317) 920-7551
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01033600
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000191627
ANTHEM PROVIDER NUMBER
IN
01
—
01033600
STATE LICENSE NO.
IN
Enumeration date
07/21/2005
Last updated
07/08/2007
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