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NPI Code Detail

MEDICARE: PATRICIA L. ROONEY, D.O.

MEDICARE: PATRICIA L. ROONEY, D.O.
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
1208200000XPlastic Surgery Physician5101013687MI

General Provider Information

NPI Number : 1689738858
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATRICIA L. ROONEY, D.O.
Provider Business Mailing Address
First Line : 2575 SPRING ARBOR RD STE 300
Second Line :
City : JACKSON
State : MI
Zip : 49203-3652
Country : US
Telephone Number : 517-783-6290
Fax Number : 517-784-3753
Provider Business Practice Location Address
First Line : 2575 SPRING ARBOR RD STE 300
Second Line :
City : JACKSON
State : MI
Zip : 49203-3652
Country : US
Telephone Number : 517-783-6290
Fax Number : 517-784-3753
Authorized Official
Title or Position : OWNER
Name : PATRICIA L. ROONEY
Credential : D.O.
Telephone Number : 517-783-6290
Provider Enumeration Date : 12/21/2006
Last Update Date : 08/22/2020

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Directions to “PATRICIA L. ROONEY, D.O. ” Practice Location

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