Individual
MICHAEL ROTTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11900 E 12 MILE RD, WARREN, MI 48093-3400
(586) 751-2702
(586) 751-1302
Mailing address
11900 E 12 MILE RD, WARREN, MI 48093-3400
(586) 751-2702
(586) 751-1302
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301045798
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1653754
—
MI
01
—
700H273300
BCBSM
MI
01
—
MR045798
BCBSM OTHER IDENTIFIER
MI
Enumeration date
07/02/2005
Last updated
02/16/2015
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