Individual
MR. GARY BERNARD ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9555 UPLAND LN N, MAPLE GROVE, MN 55369-4485
(952) 993-1440
Mailing address
9555 UPLAND LN N, MAPLE GROVE, MN 55369-4485
(952) 993-1440
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G68293
CA
207N00000X
Dermatology Physician
Primary
63613
MN
207N00000X
Dermatology Physician
ME100082
FL
Other
Enumeration date
09/20/2006
Last updated
04/26/2018
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