Provider Demographics
NPI:1568680866
Name:ROSENBERG, RONALD WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:WILLIAM
Last Name:ROSENBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6431 INKSTER RD
Mailing Address - Street 2:SUITE 226
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48301-1310
Mailing Address - Country:US
Mailing Address - Phone:248-602-0011
Mailing Address - Fax:888-391-5251
Practice Address - Street 1:6431 INKSTER RD
Practice Address - Street 2:SUITE 226
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48301-1310
Practice Address - Country:US
Practice Address - Phone:248-602-0011
Practice Address - Fax:888-391-5251
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI465162084P0015X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine