Individual
RICHARD W ROSENQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
PAIN MANAGEMENT C25, 9500 EUCLID AVENUE, CLEVELAND, OH 44195-0001
(216) 445-8388
(216) 445-7928
Mailing address
PAIN MANAGEMENT C25, 9500 EUCLID AVENUE, CLEVELAND, OH 44195-0001
(216) 445-8388
(216) 445-7928
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
096179
OH
207L00000X
Anesthesiology Physician
32213
IA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
096179
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
32213
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0169037
—
IA
05
—
3154670
—
OH
01
—
42321
WELLMARK BCBS
IA
Enumeration date
10/03/2005
Last updated
07/20/2011
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