Individual provider · Type 1 NPI
Richard W. Rozelle, D.P.M.
Foot & Ankle Surgery Podiatrist · Grand Rapids, MI
NPI number
1528094257
Active
Practice location
5175 Plainfield Ave NE
Grand Rapids, MI 49525-1048
Fax (616) 363-9701
Mailing address
4540 Kalamazoo Ave SE
Kentwood, MI 49508-4625
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 5901001069 (MI) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
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About NPI 1528094257
Richard W. Rozelle, D.P.M.'s National Provider Identifier is 1528094257, issued on Jun 24, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 8, 2011.