Individual
DR. JASON M ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1217 N. MONROE, GRAND RAPIDS, MI 49503
(734) 904-3609
Mailing address
2448 BLAINE, GRAND RAPIDS, MI 49507
(734) 904-3609
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009019
MI
Other
Enumeration date
07/20/2006
Last updated
03/04/2010
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