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Individual

DR. MARC S ROSENTHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
6071 W OUTER DR, SINAI-GRACE HOSPITAL, DETROIT, MI 48235-2624
(313) 966-1785
Mailing address
4201 SAINT ANTOINE ST, SUITE 3R, DETROIT, MI 48201-2153
(313) 745-3330

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101013920
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
5101013920
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114418847
MI
05
114418856
MI
01
MR013920
BC/BS OF MI
MI
Enumeration date
03/28/2006
Last updated
10/25/2023
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