Individual
EDWARD R ROSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
804 SERVICE RD, A235, EAST LANSING, MI 48824-7015
(517) 355-1300
(517) 355-1710
Mailing address
804 SERVICE RD, # A109B, EAST LANSING, MI 48824-7015
(517) 355-1300
(517) 355-1710
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
5101012116
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669426516
—
MI
05
—
4871425
—
MI
Enumeration date
05/22/2006
Last updated
03/18/2020
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