Individual
DR. CARL WENDELL ROSS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(847) 452-6973
Mailing address
411 W LAKE LANSING RD STE C120, EAST LANSING, MI 48823-8483
(517) 337-0957
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301108513
MI
207Q00000X
Family Medicine Physician
Primary
4301108513
MI
Other
Enumeration date
02/20/2013
Last updated
04/13/2023
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