Individual
PHILIP ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
27351 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3487
(248) 967-7795
(248) 967-7794
Mailing address
400 MACK AVENUE, SUITE 2 WEST - CREDENTIALING DEPT, DETROIT, MI 48201-2153
(313) 448-9006
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
5101021038
MI
Other
Enumeration date
05/29/2014
Last updated
02/04/2021
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