Rebecca Rose, PA
Physician Assistant in Dearborn, MI. Individual provider (NPI-1).
NPI number1861663502
StatusActive
Last updated in NPPESMar 21, 2008
Details
- NPI
- 1861663502
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Rose
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2008
- Last updated
- Mar 21, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601003882 | MI | Yes |
Practice location
18101 Oakwood BlvdDearborn, MI 48124-4089
Phone 313-593-7000
Mailing address
415 Boardwalk DrWalled Lake, MI 48390-3544
Phone 313-593-7000
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All 109 Physician Assistant providers in Dearborn · All 7,276 providers in Dearborn
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