MEDICARE: MICHAEL ROSENFELD DDS PC

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	1223G0001X	General Practice Dentistry	8375	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477727600
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL ROSENFELD DDS PC

Provider Business Mailing Address
First Line	:	38210 VAN DYKE AVE
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48312-1137
Country	:	US
Telephone Number	:	586-268-1840
Fax Number	:	586-268-6786

Provider Business Practice Location Address
First Line	:	38210 VAN DYKE AVE
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48312-1137
Country	:	US
Telephone Number	:	586-268-1840
Fax Number	:	586-268-6786

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. SUSAN LEWIS
Credential	:
Telephone Number	:	586-268-1840

Provider Enumeration Date	:	04/18/2008
Last Update Date	:	04/18/2008

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