Individual
DR. SHARON ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
505 N JACKSON ST, JACKSON, MI 49201-1266
(517) 748-5500
(517) 780-9286
Mailing address
505 N JACKSON ST, JACKSON, MI 49201-1266
(517) 748-5500
(517) 780-9286
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101014228
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4667950-11
—
MI
Enumeration date
06/28/2005
Last updated
03/09/2021
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