Individual
ERIC J ROSE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1414 W FAIR AVE, STE 35, MARQUETTE, MI 49855-2675
(906) 225-4555
(906) 225-4554
Mailing address
1414 W FAIR AVE, STE 35, MARQUETTE, MI 49855-2675
(906) 225-4555
(906) 225-4554
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
5101011326
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2759865
—
MI
Enumeration date
08/16/2005
Last updated
07/08/2007
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