Individual
DANIELLE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(517) 975-6000
Mailing address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(517) 975-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A25316
CA
207R00000X
Internal Medicine Physician
5101028805
MI
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
20A25316
CA
Other
Enumeration date
06/06/2022
Last updated
05/01/2026
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