Individual
JOHN DOMINIC MONTEROSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12000 E 12 MILE RD, WARREN, MI 48093-3570
(586) 582-7550
Mailing address
6071 W OUTER DR, DETROIT, MI 48235-2624
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
5151016311
MI
Other
Enumeration date
04/14/2023
Last updated
06/30/2025
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