Healthcare Provider Details

I. General information

NPI: 1750218335
Provider Name (Legal Business Name): MORGAN ROSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

363 FREMONT ST STE 203
BATTLE CREEK MI
49017-3398
US

IV. Provider business mailing address

572 BABCOCK RD
BRONSON MI
49028-9347
US

V. Phone/Fax

Practice location:
  • Phone: 269-969-6123
  • Fax:
Mailing address:
  • Phone: 517-677-1324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: