Individual
BRANDON C ROOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-BC
Contact information
Practice address
9975 W OTTAWA RVE., EMPIRE, MI 49630
(231) 835-2088
Mailing address
224 PARK AVE, FRANKFORT, MI 49635-9658
(231) 352-2990
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704280333
MI
Other
Enumeration date
01/28/2019
Last updated
06/30/2022
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