Individual
ERICA R. ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
211 W PINE LAKE DR, NEWAYGO, MI 49337-8029
(231) 652-1631
(231) 652-1733
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
078083
MI
Other
Enumeration date
05/17/2006
Last updated
02/23/2021
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