Individual
NORBERT ROOSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-9106
(313) 916-1249
Mailing address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-9106
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
062657
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410085510
—
MI
01
—
700H262230
BLUE CROSS-BLUE CROSS
—
01
—
NR062657
CHAMPUS-CHAMPUS
—
Enumeration date
12/01/2006
Last updated
01/28/2021
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