Individual
MITCHELL K ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 MINOT AVE, AUBURN, ME 04210-4900
(207) 795-2927
(207) 795-2000
Mailing address
10 MINOT AVE, AUBURN, ME 04210-4900
(207) 795-2927
(207) 795-2000
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
MD12092
ME
2084N0400X
Neurology Physician
Primary
12092
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432007500
—
ME
Enumeration date
10/25/2005
Last updated
03/20/2013
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