Individual
JOSE P DE LA ROSA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
203 PALUSTER STREET, CADILLAC, MI 49601
(231) 779-9960
(231) 779-8945
Mailing address
203 PALUSTER STREET, CADILLAC, MI 49601
(231) 779-9960
(231) 779-8945
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301052242
MI
Other
Enumeration date
06/29/2006
Last updated
02/27/2008
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