Individual
JOSHUA ROOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
22894 19 MILE RD, TUSTIN, MI 49688-8059
(231) 884-4462
Mailing address
22894 19 MILE RD, TUSTIN, MI 49688-8059
(231) 884-4462
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
58.032115
OH
Other
Enumeration date
09/17/2020
Last updated
06/26/2025
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