Individual
DR. ANDREW MARER ROSENBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, DIVISION OF CARDIOLOGY, MILWAUKEE, WI 53226-3522
(414) 955-6777
(414) 955-6203
Mailing address
9200 W WISCONSIN AVE, DIVISION OF CARDIOLOGY, MILWAUKEE, WI 53226-3522
(414) 955-6777
(414) 955-6203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301052128
MI
207RC0000X
Cardiovascular Disease Physician
4301052128
MI
207RC0000X
Cardiovascular Disease Physician
Primary
63909
WI
207RC0001X
Clinical Cardiac Electrophysiology Physician
4301052128
MI
207RC0001X
Clinical Cardiac Electrophysiology Physician
63909
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700877123
—
WI
05
—
47099503
—
MI
Enumeration date
11/03/2005
Last updated
09/18/2015
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