Individual
MIKO ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
A233 EAST FEE HALL, GEN ADULT PSYCHIATRY RESIDENCY MSU, EAST LANSING, MI 48824-1316
(517) 432-2993
Mailing address
5303S CEDAR ST, LANSING, MI 48911-3800
(517) 244-8060
(517) 244-7180
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5101019168
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285864843
—
MI
Enumeration date
07/16/2009
Last updated
10/23/2015
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