Individual
DR. SHANNAN C ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3780 MEDINA RD STE 220, MEDINA, OH 44256-9312
(330) 723-6060
(330) 723-6462
Mailing address
3780 MEDINA RD STE 220, MEDINA, OH 44256-9312
(330) 723-6060
(330) 723-6462
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35-082532R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000298482
ANTHEM
OH
05
—
2401814
—
OH
01
—
7349474
AETNA
OH
Enumeration date
06/27/2005
Last updated
11/14/2011
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