Individual
MICHAEL J. ROSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2831 FORT MISSOULA RD, SUITE 232, MISSOULA, MT 59804-7419
(406) 728-6101
(406) 721-3278
Mailing address
2831 FORT MISSOULA RD, SUITE 232, MISSOULA, MT 59804-7419
(406) 728-6101
(406) 721-3278
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
57092
CA
363AS0400X
Surgical Physician Assistant
398
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588664791
—
CA
05
—
4303975
—
MT
Enumeration date
07/29/2005
Last updated
10/13/2020
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