Individual
ROSE DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3960 PATIENT CARE DR, LANSING, MI 48911-4275
(517) 393-0352
Mailing address
3960 PATIENT CARE DR STE 112, LANSING, MI 48911-4278
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704328239
MI
Other
Enumeration date
11/19/2019
Last updated
10/18/2021
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