Individual
MICHAEL ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2351 E 22ND ST, CLEVELAND, OH 44115-3111
(216) 861-6200
Mailing address
2040 DOOVYS ST, AVON, OH 44011-1116
(508) 446-5275
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
59.000922
OH
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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