Provider Demographics
NPI:1629042528
Name:ROSENBAUM, ALAN H (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:H
Last Name:ROSENBAUM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6689 ORCHARD LAKE RD # 308
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3404
Mailing Address - Country:US
Mailing Address - Phone:248-539-0200
Mailing Address - Fax:248-539-0987
Practice Address - Street 1:2619 KINGSTOWNE DR
Practice Address - Street 2:
Practice Address - City:COMMERCE TWP
Practice Address - State:MI
Practice Address - Zip Code:48390-2712
Practice Address - Country:US
Practice Address - Phone:248-539-0200
Practice Address - Fax:248-539-0987
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI43010270312084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry