Individual provider · Type 1 NPI
Rita Jean Rose, PA-C
Medical Physician Assistant · Warren, MI
NPI number
1487706859
Active
Practice location
2104 E. 11 Mile Road, Suite 600
Warren, MI 48091
Fax (586) 758-6232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5601003424 (MI) |
Medical Physician Assistant: Definition to come...
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About NPI 1487706859
Rita Jean Rose, PA-C's National Provider Identifier is 1487706859, issued on Jan 17, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Warren, MI. The record was last updated on Mar 14, 2014.