Individual
BENJAMIN W. ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 E. MAIN STREET, WAUKON, IA 52172-1735
(563) 568-3449
Mailing address
105 E. MAIN STREET, WAUKON, IA 52172-1735
(563) 568-3449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38665
IA
Other
Enumeration date
06/10/2008
Last updated
11/07/2012
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