Provider Demographics
NPI:1649372350
Name:ROTTENBERG, DAVID ALLAN (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALLAN
Last Name:ROTTENBERG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:720 WASHINGTON AVE SE
Mailing Address - Street 2:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414
Mailing Address - Country:US
Mailing Address - Phone:612-884-0649
Mailing Address - Fax:
Practice Address - Street 1:516 DELAWARE STREET SE, CLINIC 1A
Practice Address - Street 2:NEUROLOGY CLINIC
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-0346
Practice Address - Country:US
Practice Address - Phone:612-626-6688
Practice Address - Fax:612-626-3217
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2013-02-21
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Provider Licenses
StateLicense IDTaxonomies
MN324292084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology