Individual
DR. MARIETA JAMSEK ROLNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
251 E MERRILL ST, SUITE 230, BIRMINGHAM, MI 48009-6121
(248) 646-3610
(248) 646-0728
Mailing address
251 E MERRILL ST, SUITE 230, BIRMINGHAM, MI 48009-6121
(248) 646-3610
(248) 646-0728
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MJ4301036347
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2606356041
BLUE CROSS AND BLUE SHIEL
MI
05
—
MI2104309
—
MI
Enumeration date
03/20/2007
Last updated
02/15/2011
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