Individual
DR. ETHAN M ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4100 STATE HIGHWAY 66, STEVENS POINT, WI 54482-8410
(715) 997-6000
Mailing address
42 CROSS HILL RD, CAPE ELIZABETH, ME 04107-5116
(302) 757-4357
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2695
WI
207P00000X
Emergency Medicine Physician
49891
CO
207P00000X
Emergency Medicine Physician
C7-0004008
DE
207P00000X
Emergency Medicine Physician
DO3369
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37154389
—
CO
Enumeration date
05/06/2008
Last updated
05/10/2023
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