Provider Demographics
NPI:1689158552
Name:ROSEMARIE A OSOWIK MD
Entity Type:Organization
Organization Name:ROSEMARIE A OSOWIK MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSEMARIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:OSOWIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:567-277-4195
Mailing Address - Street 1:3949 SUNFOREST CT STE 202
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-4454
Mailing Address - Country:US
Mailing Address - Phone:419-725-3300
Mailing Address - Fax:419-725-3302
Practice Address - Street 1:3949 SUNFOREST CT STE 202
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-4454
Practice Address - Country:US
Practice Address - Phone:419-725-3300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-18
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty