Robert J Roosenberg M.D.

NPI 1043214554 - Ophthalmology - 207W00000X

NPI Details
NPI 1043214554
Gender Male
Enumeration Date 06/13/2005
Last Updated 06/05/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
750 E BELTLINE AVE NE
GRAND RAPIDS MI, 49525-6049, US
Phone (616) 949-2600
Fax (616) 365-2076
Business Location
750 E BELTLINE AVE NE
GRAND RAPIDS MI, 49525-6049, US
Phone (616) 949-2600
Fax (616) 365-2076
Toxanomy
Taxonomy Code 207W00000X
License State Michigan
License Number 4301034077
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According to our database, Dr. Robert J Roosenberg M.D. NPI is 1043214554, taxonomy code is 207W00000X and license number is 4301034077, license state is located at Michigan. Robert J Roosenberg M.D. physically located at 750 E Beltline Ave Ne, Grand Rapids MI, 49525-6049. NPI Number Robert J Roosenberg M.D. has the Individual type.

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1043214554 NPI number is provided on an as is basis without warranty of any kind. 1043214554 is maintained by the National Plan & Provider Enumeration System. The contents of Robert J Roosenberg M.D. are for informational purposes only.