Individual
MRS. LESLIE LEE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2462 E HILL RD STE 1, GRAND BLANC, MI 48439-5427
(810) 695-1234
Mailing address
3495 S CENTER RD, BURTON, MI 48519-1455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007493
MI
Other
Enumeration date
09/28/2015
Last updated
06/27/2025
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