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Individual

DR. MICHAEL BRIAN ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3851 ROGER BROOKE DR, MCHE-QD (CREDS), FORT SAM HOUSTON, TX 78234-4501
(210) 513-0444
Mailing address
3851 ROGER BROOKE DR, MCHE-QD (CREDS), FORT SAM HOUSTON, TX 78234-4501

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20A 10592
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/09/2007
Last updated
11/29/2021
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