Provider Demographics
NPI:1891870135
Name:ROSEN, ALLISON BETH (MD, MPH, SCD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:BETH
Last Name:ROSEN
Suffix:
Gender:F
Credentials:MD, MPH, SCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:300 N INGALLS ST
Mailing Address - Street 2:ROOM 7E10
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48109-2007
Mailing Address - Country:US
Mailing Address - Phone:734-936-4787
Mailing Address - Fax:734-936-8944
Practice Address - Street 1:2215 FULLER RD
Practice Address - Street 2:ANN ARBOR VA MEDICAL CENTER
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-2335
Practice Address - Country:US
Practice Address - Phone:734-769-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301084629207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine