NPI 1659345221

Michael Ward Rosenberg, MD

Practitioner Surgery Physician Jackson, WY

Practice location

Address: 555 E Broadway Ave Suite #229, Jackson, WY 83001-8640
Phone: (307) 739-7690
Fax: (307) 739-7644
Mailing address: PO Box 428, Jackson, WY 83001-0428

Registered specialties (3)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 8000A (WY)

Other Surgery providers in Wyoming →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence M-10577 (ID)

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 147502 (NY)

Registry record

NPI: 1659345221
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Feb 2006
Record last updated: 3 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.