Individual
DR. ZACHARY COHN ROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
803 N MONROE ST, BLOOMINGTON, IN 47404-3321
(812) 855-1671
Mailing address
803 N MONROE ST, BLOOMINGTON, IN 47404-3321
(812) 855-1671
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003521A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200904400
—
IN
Enumeration date
06/25/2008
Last updated
03/04/2009
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