Individual
DANIELLE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5020 W BRISTOL RD, FLINT, MI 48507-2919
(810) 732-1620
Mailing address
34447 FARGO ST, LIVONIA, MI 48152-1469
(734) 560-7774
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/25/2017
Last updated
09/01/2021
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