Individual
SHAWN ROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 BALL AVE NE BLDG A, GRAND RAPIDS, MI 49505-5904
(616) 826-5138
(616) 456-6396
Mailing address
1449 LEONARD ST NE, GRAND RAPIDS, MI 49505-5552
(616) 826-5138
(616) 456-6396
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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