SearchMichigan104100000X

Phylicia Rosema

NPI 1497384762 · on the registry since 2020

Practice

Address
4507 170th Ave
Hersey, MI 49639
Phone
(231) 305-6761
Organisation at this address
Eagle Village Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-04-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan