MEDICARE: MICHAEL KENNETH ROSNER 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	207T00000X	Neurological Surgery Physician	D0060919	MD
2	207T00000X	Neurological Surgery Physician	38302020	WI
3	207T00000X	Neurological Surgery Physician	036106748	IL

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	:	1952397671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL KENNETH ROSNER MD

Provider Business Mailing Address
First Line	:	5505 ROOSEVELT ST
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-3781
Country	:	US
Telephone Number	:	240-687-5048
Fax Number	:

Provider Business Practice Location Address
First Line	:	2150 PENNSYLVANIA AVE NW
Second Line	:	SUITE 7-420
City	:	WASHINGTON
State	:	DC
Zip	:	20037-3201
Country	:	US
Telephone Number	:	202-741-2754
Fax Number	:	202-741-2742

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

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	04/16/2015

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Directions to “ MICHAEL KENNETH ROSNER MD” Practice Location

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