Leonard J. Rosen, M.d. Pc | |
30538 Fox Club Dr Farmington Hills MI 48331-1988 | |
(734) 246-7447 | |
Not Available |
Full Name | Leonard J. Rosen, M.d. Pc |
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Speciality | Clinic/Center |
Location | 30538 Fox Club Dr, Farmington Hills, Michigan |
Authorized Official Name and Position | Leonard J Rosen (PHYSICIAN) |
Authorized Official Contact | 7342467477 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Leonard J. Rosen, M.d. Pc 30538 Fox Club Dr Farmington Hills MI 48331-1988 Ph: (734) 246-7447 | Leonard J. Rosen, M.d. Pc 30538 Fox Club Dr Farmington Hills MI 48331-1988 Ph: (734) 246-7447 |
NPI Number | 1124059951 |
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Provider Enumeration Date | 07/06/2006 |
Last Update Date | 02/01/2011 |
Medicare PECOS PAC ID | 4880861731 |
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Medicare Enrollment ID | O20120118000510 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124059951 | NPI | - | NPPES |
LR033083 | Other | MI | LIC # |
1089146 | Medicaid | MI | |
2608282111 | Other | MI | BCBS # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | 4301033083 (Michigan) | Primary |
Provider Name | Leonard J Rosen |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1841283587 PECOS PAC ID: 7416940952 Enrollment ID: I20040408000363 |
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