MEDICARE: DR. DONALD S ROSIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	4301038409	MI

General Provider Information

NPI Number	:	1275523813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD S ROSIN MD

Provider Business Mailing Address
First Line	:	1695 W 12 MILE RD
Second Line	:	SUITE 200
City	:	BERKLEY
State	:	MI
Zip	:	48072-2182
Country	:	US
Telephone Number	:	248-548-9090
Fax Number	:	248-548-8462

Provider Business Practice Location Address
First Line	:	1695 W 12 MILE RD
Second Line	:	SUITE 200
City	:	BERKLEY
State	:	MI
Zip	:	48072-2182
Country	:	US
Telephone Number	:	248-548-9090
Fax Number	:	248-548-8462

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	10/16/2012

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Directions to “ DR. DONALD S ROSIN MD” Practice Location

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