Search › Michigan › 204D00000X
Derek Rosol, DO
NPI 1790050151 · on the registry since 2012
Practice
- Address
- 3700 52nd St Se
Grand Rapids, MI 49512 - Phone
- (616) 656-3700
- Fax
- (616) 656-3701
- Organisation at this address
- Born Clinic, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 204D00000X
204D00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-20
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