Provider Demographics
NPI:1891952420
Name:ARTHUR ROSNER MD PLLC
Entity Type:Organization
Organization Name:ARTHUR ROSNER MD PLLC
Other - Org Name:ARTHUR ROSNER MD PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:JEFFREY
Authorized Official - Last Name:ROSNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-844-2936
Mailing Address - Street 1:1055 SOUTH BLVD E
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-5465
Mailing Address - Country:US
Mailing Address - Phone:248-844-2936
Mailing Address - Fax:
Practice Address - Street 1:1055 SOUTH BLVD E
Practice Address - Street 2:SUITE 100
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-5465
Practice Address - Country:US
Practice Address - Phone:248-844-2936
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAR049123207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIMI1121OtherMEDICARE PTAN GROUP
MIMI1121001OtherMEDICARE PTAN INDIVIDUAL
1790781573OtherINDIVIDUAL NPI