Individual
ALLISON KUBACKI ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3000
Mailing address
6835 LIMERICK LN, TROY, MI 48098-2116
(248) 752-8864
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010582
MI
Other
Enumeration date
06/14/2021
Last updated
03/03/2026
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