MEDICARE: HANAN ROSENSTEIN MD

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	207Q00000X	Family Medicine Physician	16908	MN

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	:	1497716658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANAN ROSENSTEIN MD

Provider Business Mailing Address
First Line	:	2925 CHICAGO AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1321
Country	:	US
Telephone Number	:	612-262-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1221 W LAKE ST
Second Line	:	SUITE 201
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55408-3397
Country	:	US
Telephone Number	:	612-824-1772
Fax Number	:	612-821-4799

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	10/18/2011

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Directions to “ HANAN ROSENSTEIN MD” Practice Location

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