Individual
BETSY ROSSOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
615 N MICHIGAN ST FL 5, SOUTH BEND, IN 46601-1033
(574) 647-7275
(574) 647-3696
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-6592
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01056756A
IN
208000000X
Pediatrics Physician
4301083379
MI
208M00000X
Hospitalist Physician
Primary
01056756A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200907100
—
IN
Enumeration date
05/30/2006
Last updated
02/19/2025
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