Provider Demographics
NPI:1104047422
Name:ROSLAND, ANN-MARIE (MD)
Entity type:Individual
Prefix:
First Name:ANN-MARIE
Middle Name:
Last Name:ROSLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANN-MARIE
Other - Middle Name:
Other - Last Name:KUHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6312 MEDICAL SCIENCE BLDG. 1
Mailing Address - Street 2:1150 W MEDICAL CENTER DRIVE
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48109-0604
Mailing Address - Country:US
Mailing Address - Phone:734-647-4844
Mailing Address - Fax:734-647-3301
Practice Address - Street 1:6312 MEDICAL SCIENCE BLDG. 1
Practice Address - Street 2:1150 W MEDICAL CENTER DRIVE
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-0604
Practice Address - Country:US
Practice Address - Phone:734-647-4844
Practice Address - Fax:734-647-3301
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301088775207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H91117Medicare UPIN
072062Medicare ID - Type Unspecified