Individual
GARY MICHAEL ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
401 S MAIN ST, BREWER, ME 04412-2322
(207) 989-5588
(207) 989-1599
Mailing address
401 S MAIN ST, BREWER, ME 04412-2322
(207) 989-5588
(207) 989-1599
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME1127
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297030099
—
ME
Enumeration date
03/28/2006
Last updated
12/03/2013
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