Individual
MICHAEL T. ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 3500 FIFTEEN MILE ROAD, STERLING HEIGHTS, MI 48310
(586) 977-9936
(586) 268-8158
Mailing address
HENRY FORD HEALTH SYSTEM, 3500 FIFTEEN MILE ROAD, STERLING HEIGHTS, MI 48310
(586) 977-9936
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4301044928
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010H262530
BLUE CROSS-BLUE CROSS
—
05
—
105201834
—
MI
05
—
301419010
—
MI
01
—
MR044928
BCBS
MI
01
—
MR044928
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
11/20/2006
Last updated
05/06/2008
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