Dr Kenneth Daniel Rosenman, MD | |
4650 S Hagadorn Rd Ste 100, East Lansing, MI 48823-5386 | |
(517) 353-4830 | |
(517) 355-2134 |
Full Name | Dr Kenneth Daniel Rosenman |
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Gender | Male |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 4650 S Hagadorn Rd Ste 100, East Lansing, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235236639 | NPI | - | NPPES |
1910600 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083X0100X | Preventive Medicine - Occupational Medicine | 4301051230 (Michigan) | Primary |
Entity Name | Michigan State University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861443269 PECOS PAC ID: 3870405954 Enrollment ID: O20031105000741 |
Entity Name | Msu Health Care Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700418670 PECOS PAC ID: 8628404936 Enrollment ID: O20200518002744 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth Daniel Rosenman, MD 804 Service Rd Ste A109b, East Lansing, MI 48824-7015 Ph: (517) 353-4830 | Dr Kenneth Daniel Rosenman, MD 4650 S Hagadorn Rd Ste 100, East Lansing, MI 48823-5386 Ph: (517) 353-4830 |
Edward R Rosick, D.O. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 804 Service Rd, A235, East Lansing, MI 48824 Phone: 517-355-1300 Fax: 517-355-1710 | |
Margaret J. Byers, D.O. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 3164 Hamlet Cir, East Lansing, MI 48823 Phone: 517-898-7650 Fax: 517-898-7650 |