Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 227362 | MA |
N | 111NI0900X | Internist | 227362 | MA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 4301500970 | MI |
N | 207RC0000X | Internist - Cardiovascular Disease | D71828 | MD |
NPI | 1023076627 |
---|---|
Provider Name | Rosanne Rouf |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-5000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 25/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
554222700 | (05) | MD |