| Dr Kenneth Daniel Rosenman, MD | |
| 4650 S Hagadorn Rd Ste 100, East Lansing, MI 48823-5386 | |
| (517) 353-4830 | |
| (517) 355-2134 | 
| Full Name | Dr Kenneth Daniel Rosenman | 
|---|---|
| Gender | Male | 
| Speciality | Preventive Medicine - Occupational Medicine | 
| Location | 4650 S Hagadorn Rd Ste 100, East Lansing, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1235236639 | NPI | - | NPPES | 
| 1910600 | Medicaid | MI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | 4301051230 (Michigan) | Primary | 
| Entity Name | Michigan State University | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1861443269 PECOS PAC ID: 3870405954 Enrollment ID: O20031105000741 | 
| Entity Name | Msu Health Care Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1700418670 PECOS PAC ID: 8628404936 Enrollment ID: O20200518002744 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Kenneth Daniel Rosenman, MD 804 Service Rd Ste A109b, East Lansing, MI 48824-7015 Ph: (517) 353-4830 | Dr Kenneth Daniel Rosenman, MD 4650 S Hagadorn Rd Ste 100, East Lansing, MI 48823-5386 Ph: (517) 353-4830 | 
| Edward R Rosick, D.O. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 804 Service Rd, A235, East Lansing, MI 48824 Phone: 517-355-1300 Fax: 517-355-1710 | |
| Margaret J. Byers, D.O. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 3164 Hamlet Cir, East Lansing, MI 48823 Phone: 517-898-7650 Fax: 517-898-7650 |