Individual
DR. MARYLYN A ROSENCRANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5363 COMMERCE DR, CROWN POINT, IN 46307-5325
(219) 769-5000
(574) 273-1137
Mailing address
5363 COMMERCE DR, CROWN POINT, IN 46307-5325
(219) 769-5000
(574) 273-1137
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
02001008
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000576548
ANTHEM
IN
05
—
036064791
—
IL
05
—
200288940
—
IN
01
—
P00719157
RAIL ROAD CARE
IN
Enumeration date
09/06/2005
Last updated
12/14/2012
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