Individual
JAMIE ROSE ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6620 HIGHLAND RD STE 101, WATERFORD, MI 48327-1682
(248) 666-9332
(248) 666-0340
Mailing address
6620 HIGHLAND RD STE 101, WATERFORD, MI 48327-1682
(248) 666-9332
(248) 666-0340
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006188
MI
363AM0700X
Medical Physician Assistant
5601006188
MI
Other
Enumeration date
09/22/2011
Last updated
03/05/2021
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