Organization
BRANDON ROSS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDON ROSS MD (OWNER)
(248) 524-2121
Entity
Organization
Contact information
Practice address
2950 E WATTLES RD STE 300, TROY, MI 48085-7008
(248) 524-2121
(248) 524-2035
Mailing address
2950 E WATTLES RD STE 300, TROY, MI 48085-7008
(248) 524-2121
(248) 524-2035
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
BR407448
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103327532
—
MI
Enumeration date
10/30/2007
Last updated
10/25/2010
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