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NPI Code Detail

MEDICARE: ROSS ID SPECIALISTS PLLC

MEDICARE: ROSS ID SPECIALISTS PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0200XInfectious Disease Physician

General Provider Information

NPI Number : 1215761465
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROSS ID SPECIALISTS PLLC
Provider Business Mailing Address
First Line : 7110 ORCHARD LAKE RD UNIT 2012
Second Line :
City : WEST BLOOMFIELD
State : MI
Zip : 48322-4355
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7110 ORCHARD LAKE RD
Second Line :
City : WEST BLOOMFIELD
State : MI
Zip : 48322-3794
Country : US
Telephone Number : 469-891-8300
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. CHRISTOPHER ROSS
Credential :
Telephone Number : 469-891-8300
Provider Enumeration Date : 08/29/2024
Last Update Date : 02/14/2025

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