Provider Demographics
NPI:1750683827
Name:ROSNER, MARSHALL I
Entity type:Individual
Prefix:
First Name:MARSHALL
Middle Name:I
Last Name:ROSNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4420 VALLEY VIEW RD
Mailing Address - Street 2:STE 301
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55424-1870
Mailing Address - Country:US
Mailing Address - Phone:952-920-1793
Mailing Address - Fax:952-920-1799
Practice Address - Street 1:4420 VALLEY VIEW RD
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55424-1870
Practice Address - Country:US
Practice Address - Phone:952-920-1793
Practice Address - Fax:952-920-1799
Is Sole Proprietor?:No
Enumeration Date:2010-11-23
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2707237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist