MEDICARE: ELZBIETA ANNA ROZMIEJ M.D.

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	4301046109	MI

General Provider Information

NPI Number	:	1871561944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELZBIETA ANNA ROZMIEJ M.D.

Provider Business Mailing Address
First Line	:	4986 N ADAMS RD
Second Line	:	SUITE C
City	:	ROCHESTER
State	:	MI
Zip	:	48306-1416
Country	:	US
Telephone Number	:	248-475-5601
Fax Number	:	248-475-5632

Provider Business Practice Location Address
First Line	:	4986 N ADAMS RD
Second Line	:	SUITE C
City	:	ROCHESTER
State	:	MI
Zip	:	48306-1416
Country	:	US
Telephone Number	:	248-475-5601
Fax Number	:	248-475-5632

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	07/08/2007

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