Chad Rosen

NPI 1588999148 - Optometrist - 152WC0802X

NPI Details
NPI 1588999148
Gender Male
Enumeration Date 10/14/2009
Last Updated 03/29/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
1124 S STATE ST
BIG RAPIDS MI, 49307-2256, US
Phone (231) 591-3714
Fax
Business Location
1124 S STATE ST
BIG RAPIDS MI, 49307-2256, US
Phone (231) 591-3714
Fax
Toxanomy
Taxonomy Code 152WC0802X
License State Oregon
License Number 3448ATI
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According to our database, Chad Rosen NPI is 1588999148, taxonomy code is 152WC0802X and license number is 3448ATI, license state is located at Oregon. Chad Rosen physically located at 1124 S State St, Big Rapids MI, 49307-2256. NPI Number Chad Rosen has the Individual type.

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1588999148 NPI number is provided on an as is basis without warranty of any kind. 1588999148 is maintained by the National Plan & Provider Enumeration System. The contents of Chad Rosen are for informational purposes only.