Individual
SAMUEL E ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 HYDE ST, WAKEMAN, OH 44889-9301
(440) 839-2226
(440) 839-1339
Mailing address
272 BENEDICT AVE, NORWALK, OH 44857-2374
(419) 668-8101
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.135213
OH
207Q00000X
Family Medicine Physician
35.135213
OH
207Q00000X
Family Medicine Physician
4301108033
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0330079
—
OH
Enumeration date
05/16/2013
Last updated
09/17/2025
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