Individual
KATHERINE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1959 E PARIS AVE SE, GRAND RAPIDS, MI 49546-6272
(616) 808-2659
Mailing address
1959 E PARIS AVE SE, GRAND RAPIDS, MI 49546-6272
(616) 808-2695
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704310270
MI
Other
Enumeration date
01/02/2021
Last updated
06/14/2022
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