Provider Demographics
NPI:1437443892
Name:ROSENBERG, MICHAEL DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:DAVID
Last Name:ROSENBERG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3010 TRENWEST DR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-3208
Mailing Address - Country:US
Mailing Address - Phone:919-684-7293
Mailing Address - Fax:919-684-7151
Practice Address - Street 1:DEPARTMENT OF RADIOLOGY
Practice Address - Street 2:DUMC BOX 3808
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-684-7293
Practice Address - Fax:919-684-7151
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-02
Last Update Date:2020-02-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2015-008242085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology