Individual
DR. ROSS HELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17717 MASONIC, FRASER, MI 48026-3158
(586) 294-0600
Mailing address
17717 MASONIC, FRASER, MI 48026-3158
(586) 294-0600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-070379
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-070379-5
—
IL
Enumeration date
07/28/2005
Last updated
04/15/2009
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