Michael Stephen Rozwadowski, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301506909 Issued in MI

Practice address

26154 Woodward Ave Ste B
Royal Oak, MI 48067-0916

Phone

(248) 581-4754

Fax

(877) 552-7884

NPI assigned

May 23, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1538726658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18423 CRACKLEWOOD DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480426116",
            "telephone_number": "586-850-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26154 WOODWARD AVE STE B",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670916",
            "telephone_number": "248-581-4754",
            "fax_number": "877-552-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZWADOWSKI",
        "first_name": "MICHAEL",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-23",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301506909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Royal Oak Pediatric Therapies, LLC
• Royal Oak Surgical Center, LLC
• Royal Smiles PLLC
• Royal Urgent Care, PLLC
• Royale Pharmacy Inc.
• RPPC Labs, LLC
• Mara Rubenstein, MD
• Ronald Allen Rubenstein, M.D.
• Jacob Ruble, DDS
• Alan Joel Ruby, MD

• Internal Medicine Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.