Healthcare Provider Details

I. General information

NPI: 1639252083
Provider Name (Legal Business Name): ROSANNE M EMANUELE M.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 WASHTENAW AVE SUITE 7
ANN ARBOR MI
48104-4532
US

IV. Provider business mailing address

2350 WASHTENAW AVE SUITE 7
ANN ARBOR MI
48104-4532
US

V. Phone/Fax

Practice location:
  • Phone: 734-302-7300
  • Fax:
Mailing address:
  • Phone: 734-302-7300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number237055
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: