Individual provider · Type 1 NPI

Allison Kubacki Rose, PA-C

Physician Assistant · Southfield, MI

NPI number 1467020826 Active

Practice location

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Call (248) 849-3000 Map

Mailing address

6835 Limerick Ln
Troy, MI 48098-2116

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601010582 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1467020826

Allison Kubacki Rose, PA-C's National Provider Identifier is 1467020826, issued on Jun 14, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Southfield, MI. The record was last updated on Mar 3, 2026.