Individual
CHAD ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1124 S STATE ST, BIG RAPIDS, MI 49307-2256
(231) 591-2020
(231) 591-3991
Mailing address
1124 S STATE ST, BIG RAPIDS, MI 49307-2256
(231) 591-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004804
MI
152WC0802X
Corneal and Contact Management Optometrist
3448ATI
OR
152WC0802X
Corneal and Contact Management Optometrist
4901004804
MI
Other
Enumeration date
10/14/2009
Last updated
03/13/2024
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