Individual
KATHY ROSEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
119 S STATE ST, SHELBY, MI 49455-1243
(231) 861-2130
(231) 861-4964
Mailing address
2201 S GETTY STREET, MUSKEGON, MI 49444-1207
(231) 739-9315
(231) 737-1808
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101009504
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4267920
—
MI
Enumeration date
05/20/2006
Last updated
05/19/2017
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