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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDREW MARCUS ROSENDAHL, IDC

Active Sole Proprietor

ANDREW MARCUS ROSENDAHL, IDC is a Physician Assistant healthcare provider located in PORTLAND, Texas. NPI 1538355219 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PORTLAND, TX

Registration Details

NPI Number
1538355219
Provider Type
Individual
Gender
Male
NPI Issued
Sep 17, 2007 (18.867978688334 yrs)
Last Updated
Sep 17, 2007
Sole Proprietor
Yes

Practice Information

Address
1912 FALCON DRIVE
PORTLAND, TX, 78374
Browse TX providers · Browse ZIP 78374
Phone
3615639720
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in PORTLAND, TX

Name Credential NPI
HANNAH CRAWFORD 1083387278
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.