Individual
LAURA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
21985 RHODODENDRON CIR, GROSSE ILE, MI 48138-1481
(734) 624-9531
Mailing address
21985 RHODODENDRON CIR, GROSSE ILE, MI 48138-1481
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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