Individual
DR. LEONARD J ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30538 FOX CLUB DR, FARMINGTON HILLS, MI 48331-1988
(734) 365-3135
Mailing address
30538 FOX CLUB DR, FARMINGTON HILLS, MI 48331-1988
(734) 365-3135
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301033083
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1089146
—
MI
Enumeration date
08/29/2005
Last updated
12/26/2012
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