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Individual

DR. REBECCA C ROSSOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
401 PHALEN BLVD, MS 41104C HEALTHPARTNERS SPECIALTY CENTER 401, ST. PAUL, MN 55130-5302
(651) 254-7900
(651) 254-7904
Mailing address
8170 33RD AVE S, MS21110Q, MINNEAPOLIS, MN 55425-4516
(952) 883-5375
(651) 254-7904

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
45378
MN
2084P0805X
Geriatric Psychiatry Physician
Primary
45378
MN

Other

Enumeration date
10/19/2006
Last updated
02/08/2012
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