Individual
ANGELA MARIE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1500 E MEDICAL CENTER DRIVE, B1 FLOOR UNIVERSITY HOSPITAL RECP F, ANN ARBOR, MI 48109-2624
(734) 647-7321
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004648
MI
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
05/26/2006
Last updated
05/20/2015
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