Healthcare Provider Details

I. General information

NPI: 1649255217
Provider Name (Legal Business Name): DAVID ROSMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2005
Last Update Date: 02/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5821 W MAPLE RD SUITE 100
WEST BLOOMFIELD MI
48322-2275
US

IV. Provider business mailing address

5821 W MAPLE RD SUITE 100
WEST BLOOMFIELD MI
48322-2275
US

V. Phone/Fax

Practice location:
  • Phone: 248-855-0407
  • Fax: 248-855-1323
Mailing address:
  • Phone: 248-855-0407
  • Fax: 248-855-1323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number4301047592
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: