Individual
DR. JOHN EDWARD ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
127 N RIVER ST, FENTON, MI 48430-3800
(810) 309-9355
(810) 750-1150
Mailing address
3040 DEBRA CT, AUBURN HILLS, MI 48326-2045
(586) 292-1953
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361007763
MI
Other
Enumeration date
08/22/2018
Last updated
01/06/2025
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