Individual
DANIEL ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39475 LEWIS DRIVE, SUITE 130, NOVI, MI 48377-2977
(248) 374-0502
(248) 374-0567
Mailing address
39475 LEWIS DRIVE, SUITE 130, NOVI, MI 48377-2977
(248) 374-0502
(248) 374-0567
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301067703
MI
208000000X
Pediatrics Physician
Primary
4301067703
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4640858
—
MI
Enumeration date
03/24/2006
Last updated
06/18/2009
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