| Michael J Rosenfeld | |
|
210 4th Ave Mab 3rd Floor Grinnell IA 50112-1898 | |
| (641) 236-2382 | |
| (641) 236-2907 |
| Full Name | Michael J Rosenfeld |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 210 4th Ave, Grinnell, Iowa |
| Authorized Official Name and Position | Michael J Rosenfeld (OWNER/ PROVIDER) |
| Authorized Official Contact | 6412362500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Rosenfeld 210 4th Ave Mab 3rd Floor Grinnell IA 50112-1898 Ph: (641) 236-2382 | Michael J Rosenfeld 210 4th Ave Mab 3rd Floor Grinnell IA 50112-1898 Ph: (641) 236-2382 |
| NPI Number | 1245342286 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245342286 | NPI | - | NPPES |
| 06847 | Other | IA | WELLMARK BCBS |
| 2186049 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 32957 (Iowa) | Primary |
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