| Michi Rose Phd | |
|
5464 Holiday Terrace Kalamazoo MI 49009 | |
| (269) 353-3380 | |
| (269) 353-3380 |
| Full Name | Michi Rose Phd |
|---|---|
| Speciality | Social Worker |
| Location | 5464 Holiday Terrace, Kalamazoo, Michigan |
| Authorized Official Name and Position | Michi Ishida Rose (PRESIDENT) |
| Authorized Official Contact | 2693533380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michi Rose Phd 5464 Holiday Terrace Kalamazoo MI 49009 Ph: (269) 353-3380 | Michi Rose Phd 5464 Holiday Terrace Kalamazoo MI 49009 Ph: (269) 353-3380 |
| NPI Number | 1063445294 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063445294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 6801071154 (Michigan) | Primary |
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