Individual
MARK E ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 HARVARD ST SE, MINNEAPOLIS, MN 55455-0363
(612) 273-3000
(612) 273-4370
Mailing address
500 HARVARD ST SE, MINNEAPOLIS, MN 55455-0363
(612) 273-3000
(612) 273-4370
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27191
MN
207RN0300X
Nephrology Physician
Primary
27191
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0054574
—
MT
01
—
1009297
PREFERRED ONE
MN
01
—
101510
UCARE
MN
01
—
30T44RO
BLUE CROSS BLUE SHIELD
MN
01
—
31-00005
MEDICA PRIMARY
FM
01
—
31-24559
MEDICA CHOICE
MN
05
—
396370500
—
MN
01
—
768325
ARAZ
MN
01
—
HP22173
HEALTH PARTNERS
MN
Enumeration date
10/31/2006
Last updated
07/21/2022
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