Individual
DR. JONATHAN MICHAEL ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 E MANSION ST, SUITE 3A, MARSHALL, MI 49068-1559
(269) 789-0025
(269) 789-0445
Mailing address
215 E MANSION ST, SUITE 3A, MARSHALL, MI 49068-1559
(269) 789-0025
(269) 789-0445
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301048417
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4509502
—
MI
Enumeration date
02/28/2007
Last updated
02/22/2013
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