Individual
DR. JOSHUA C ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 262-2398
(608) 262-9999
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
(608) 829-5485
(608) 833-0999
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
53279
WI
208000000X
Pediatrics Physician
036-112685
IL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
53279
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021622158
CMMG BLUE SHIELD
IL
01
—
1952340713
NPI
—
01
—
1992758544
CMMG NPI
IL
01
—
53279
STATE LICENSE NUMBER
WI
Enumeration date
06/06/2006
Last updated
04/25/2018
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