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1588101091
MARK ROSEN
BERKLEY, MI
NPI
1588101091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601008082)
Enumeration Date
2017-01-22
Last Update Date
2017-01-22
Business Address
-- MARK ROSEN PA-C
1964 W 11 MILE RD
BERKLEY, MI 48072-3046
Phone number: 248-544-9300
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Mailing Address
-- MARK ROSEN PA-C
14680 BORGMAN ST
OAK PARK, MI 48237-1156
Phone number: 248-990-2409
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