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Individual

PAUL E ROOSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
225 N STATE ST, REED CITY, MI 49677-1089
(231) 832-9533
Mailing address
300 N PATTERSON AVE, REED CITY, MI 49677
(231) 832-9533

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101006576
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4635849
MI
Enumeration date
04/08/2006
Last updated
08/13/2012
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