Richard K Rotman in Grand Rapids - Specialist

Richard K Rotman - NPI 1487655577

Richard K Rotman is a Specialist in Grand Rapids, Michigan. Richard K Rotman practices all healthcare services and medical treatments related to Specialist. The NPI Number for Richard K Rotman is 1487655577. The last update date is 2012-04-23.

Richard K Rotman's current location address is 710 Kenmoor Ave Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169775852 and fax number 6169540659. The mailing address for Richard K Rotman is 710 Kenmoor Ave Se, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard K Rotman
Address 710 Kenmoor Ave Se, Grand Rapids, Michigan
Phone Number 6169775852
Fax Number 6169540659
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1487655577
Provider Enumeration Date 2005-08-10
Last Updated Date 2012-04-23

Provider Mailing Address Detail

Address 710 Kenmoor Ave Se
City Grand Rapids
State Michigan (MI)
Post Code 495462379
Phone Number 6169775852
Fax Number 6169540659

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 4301035323
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
830001755 MI RR MEDICARE

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FAQs about Richard K Rotman

What is the unique identifier code issued to Richard K Rotman by the Centers for Medicare & Medicaid Services?

The Richard K Rotman has been assigned the NPI (National Provider Identifier) 1487655577. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Richard K Rotman's facilities are situated?

The facilities of Richard K Rotman are physically located at the following address: 710 Kenmoor Ave Se, Grand Rapids, MI, 495462379.

What is the Richard K Rotman's area of specialization and corresponding taxonomy classification?

The Richard K Rotman's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

When did Richard K Rotman receive its 1487655577 assignment?

The Richard K Rotman was assigned its 1487655577 on 2005-08-10, which is the date when this unique identifier was issued to the organization.

When was the information regarding Richard K Rotman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Richard K Rotman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-04-23.

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