Individual
MICHAEL ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5050 N CLINTON ST, FORT WAYNE, IN 46825-5886
(260) 484-8551
(260) 482-5060
Mailing address
5050 N CLINTON ST, FORT WAYNE, IN 46825-5886
(260) 484-8551
(260) 482-5060
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
02005783A
IN
207X00000X
Orthopaedic Surgery Physician
34.017638
OH
207X00000X
Orthopaedic Surgery Physician
OS15287
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
02005783A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/24/2013
Last updated
03/09/2026
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