Individual
DR. MICHAEL J. ROSELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2115 S FREMONT AVE, SUITE 4300, SPRINGFIELD, MO 65804-2239
(417) 820-3911
(417) 820-3924
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 820-2000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R5B17
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202449328
—
MO
Enumeration date
10/11/2006
Last updated
06/15/2015
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