Individual
DR. ROSSANA BARACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3901 BEAUBIEN, CHILDREN'S HOSPITAL OF MI, DETROIT, MI 48201-2119
(313) 745-5604
(313) 966-0039
Mailing address
3901 BEAUBIEN ST STE H, DETROIT, MI 48201-2119
(313) 966-8341
(313) 966-6121
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301088040
MI
2080P0210X
Pediatric Nephrology Physician
2024032085
MO
2080P0210X
Pediatric Nephrology Physician
4301088040
MI
Other
Enumeration date
05/21/2007
Last updated
10/02/2024
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