Individual
DR. MICHAEL ROSENBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4630 HIGHWAY 17, MURRELLS INLET, SC 29576-5016
(843) 357-2299
(843) 257-2720
Mailing address
PO BOX 1738, MURRELLS INLET, SC 29576-1738
(843) 357-2299
(843) 357-2720
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TL30072
SC
207RC0000X
Cardiovascular Disease Physician
Primary
30072
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300720
—
SC
01
—
P01204808
RAILROAD MEDICARE
SC
Enumeration date
07/03/2007
Last updated
01/25/2022
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