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NPI Code Detail

MEDICARE: DR. TINA M ROSSI M.D.

MEDICARE: DR. TINA M ROSSI M.D.
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
1207Q00000XFamily Medicine PhysicianTR407351MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10041505OTHERMIPPO PIN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427042506
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TINA M ROSSI M.D.
Provider Business Mailing Address
First Line : 211 LONG RAPIDS RD
Second Line :
City : ALPENA
State : MI
Zip : 49707-1315
Country : US
Telephone Number : 989-354-2142
Fax Number : 989-354-6166
Provider Business Practice Location Address
First Line : 211 LONG RAPIDS RD
Second Line :
City : ALPENA
State : MI
Zip : 49707-1315
Country : US
Telephone Number : 989-354-2142
Fax Number : 989-354-6166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2005
Last Update Date : 03/07/2023

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