Individual
DR. MATT TOREN ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
214 N WEST AVE, JACKSON, MI 49201-1903
(517) 784-9189
Mailing address
214 N WEST AVE, JACKSON, MI 49201-1903
(517) 784-9189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301065227
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3388781
—
MI
Enumeration date
09/22/2006
Last updated
07/08/2007
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