Individual
JULIE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
45300 CHERRY HILL RD, CANTON, MI 48187-5073
(734) 981-3968
Mailing address
45300 CHERRY HILL RD, CANTON, MI 48187-5073
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704324787
MI
Other
Enumeration date
09/16/2019
Last updated
08/03/2021
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