Provider Demographics
NPI:1093838278
Name:ROSEMOND, LUTHER PAUL (DC)
Entity type:Individual
Prefix:DR
First Name:LUTHER
Middle Name:PAUL
Last Name:ROSEMOND
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17701 SCHOOLCRAFT ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48227-1347
Mailing Address - Country:US
Mailing Address - Phone:313-837-9355
Mailing Address - Fax:313-837-3179
Practice Address - Street 1:17701 SCHOOLCRAFT ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48227-1347
Practice Address - Country:US
Practice Address - Phone:313-837-9355
Practice Address - Fax:313-837-3179
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301300277111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor