Provider Demographics
NPI:1104579317
Name:SEMPERGER, ROSALIND MARIE
Entity type:Individual
Prefix:
First Name:ROSALIND
Middle Name:MARIE
Last Name:SEMPERGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25765 LIVINGSTON CIR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48335-1253
Mailing Address - Country:US
Mailing Address - Phone:248-420-5047
Mailing Address - Fax:
Practice Address - Street 1:25765 LIVINGSTON CIR
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48335-1253
Practice Address - Country:US
Practice Address - Phone:248-420-5037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-27
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302025170183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5302025170OtherPHARMACIST LICENSE MICHIGAN