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NPI Code Detail

MEDICARE: MICHAEL ROZENBLUM D.C.

MEDICARE:   MICHAEL  ROZENBLUM  D.C.
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
1111N00000XChiropractor1290NM

General Provider Information

NPI Number : 1689765406
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL ROZENBLUM D.C.
Provider Business Mailing Address
First Line : 8001 WYOMING BLVD NE
Second Line : STE. D-4
City : ALBUQUERQUE
State : NM
Zip : 87113-2009
Country : US
Telephone Number : 505-884-8584
Fax Number : 505-821-8594
Provider Business Practice Location Address
First Line : 8001 WYOMING BLVD NE
Second Line : STE. D-4
City : ALBUQUERQUE
State : NM
Zip : 87113-2009
Country : US
Telephone Number : 505-884-8584
Fax Number : 505-821-8594
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 07/08/2007

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Directions to “ MICHAEL ROZENBLUM D.C.” Practice Location

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