Individual
DR. GARY ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 769-7100
Mailing address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 769-7100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008166
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038008166
STATE LICENSE NUMBER
IL
01
—
5623133
BLUE CROSS BLUE SHIELD
IL
Enumeration date
04/23/2007
Last updated
03/12/2020
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