Healthcare Provider Details

I. General information

NPI: 1497498117
Provider Name (Legal Business Name): NAOMI LOUISE ROSELAAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2022
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 EUCLID AVE
CLEVELAND OH
44106-1716
US

IV. Provider business mailing address

UW HEALTH - GME 749 UNIVERSITY ROW STE 200
MADISON WI
53705
US

V. Phone/Fax

Practice location:
  • Phone: 216-844-3506
  • Fax:
Mailing address:
  • Phone: 608-263-6400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35.156158
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: