MEDICARE: DAVID MORTON ROSENBERG DO

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	208000000X	Pediatrics Physician	19608-21	WI

General Provider Information

NPI Number	:	1639259005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID MORTON ROSENBERG DO

Provider Business Mailing Address
First Line	:	163 N MILWAUKEE ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-6012
Country	:	US
Telephone Number	:	414-227-1127
Fax Number	:

Provider Business Practice Location Address
First Line	:	163 N MILWAUKEE ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-6012
Country	:	US
Telephone Number	:	414-227-1127
Fax Number	:

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

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	03/17/2018

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Directions to “ DAVID MORTON ROSENBERG DO” Practice Location

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