Healthcare Provider Details

I. General information

NPI: 1265828024
Provider Name (Legal Business Name): DANIEL L ROSENBERG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2015
Last Update Date: 01/29/2021
Certification Date: 01/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UW HOSPITAL AND CLINICS 600 HIGHLAND AVE
MADISON WI
53792-0001
US

IV. Provider business mailing address

UW HOSPITAL AND CLINICS 600 HIGHLAND AVE
MADISON WI
53792-0001
US

V. Phone/Fax

Practice location:
  • Phone: 608-263-5660
  • Fax:
Mailing address:
  • Phone: 608-263-5660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number66931-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: