Individual
ANDREW EDWARD ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4160 JOHN R ST STE 1007, DETROIT, MI 48201-2017
(313) 966-9471
(313) 966-9471
Mailing address
2342 JOHN R RD APT 105, TROY, MI 48083-2569
(619) 261-4371
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
5101027692
MI
207YS0123X
Facial Plastic Surgery Physician
55101027692
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2019
Last updated
10/22/2024
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