Individual
DR. RONALD ROSENQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 809-5000
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MS14859
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121327
—
MS
05
—
009940515
—
AL
01
—
646000515
BLUE CROSS OF MS
—
01
—
P00109710
MEDICARE RAILROAD
—
Enumeration date
01/12/2007
Last updated
09/22/2008
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