Organization
STEUBENVILLE INTEGRATIVE MEDICINE PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T ROSS DO (OWNER)
(740) 266-7246
Entity
Organization
Contact information
Practice address
2199 SUNSET BLVD STE C&D, STEUBENVILLE, OH 43952-1298
(740) 266-7246
(740) 266-7248
Mailing address
2199 SUNSET BLVD, SUITE C & D, STEUBENVILLE, OH 43952-1298
(740) 266-7246
(740) 266-7248
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35.077833
OH
363LF0000X
Family Nurse Practitioner
35.077833
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35.077833
LICENSE
OH
01
—
MD068844L
PA LICENSE
PA
Enumeration date
07/06/2015
Last updated
07/21/2022
Update your record
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