Organization
ROSE PEDIATRIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE ROSE MD (PRESIDENT)
(313) 255-2209
Entity
Organization
Contact information
Practice address
22341 W 8 MILE RD, DETROIT, MI 48219-1217
(313) 255-2209
(313) 255-0773
Mailing address
22341 W 8 MILE RD, DETROIT, MI 48219-1217
(313) 255-2209
(313) 255-0773
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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