Individual
DR. DOUGLAS MICHAEL ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1450 MATTHEWS TOWNSHIP PKWY STE 230, MATTHEWS, NC 28105-2388
(704) 384-8615
(704) 384-6792
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 333-1259
(704) 333-0371
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
200300403
NC
208C00000X
Colon & Rectal Surgery Physician
200300403
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891335C
—
NC
Enumeration date
11/04/2005
Last updated
09/18/2023
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