| Rose Neurology, Pc | |
|
5141 Oakman Blvd Dearborn MI 48126-3763 | |
| (313) 846-3057 | |
| (844) 209-1584 |
| Full Name | Rose Neurology, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5141 Oakman Blvd, Dearborn, Michigan |
| Authorized Official Name and Position | Christina Rose (OWNER) |
| Authorized Official Contact | 2488463057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Neurology, Pc 5141 Oakman Blvd Dearborn MI 48126-3763 Ph: (313) 846-3057 | Rose Neurology, Pc 5141 Oakman Blvd Dearborn MI 48126-3763 Ph: (313) 846-3057 |
| NPI Number | 1831722560 |
|---|---|
| Provider Enumeration Date | 02/21/2020 |
| Last Update Date | 02/21/2020 |
| Certification Date | 02/21/2020 |
| Medicare PECOS PAC ID | 4587085394 |
|---|---|
| Medicare Enrollment ID | O20200603002075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831722560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Primary |
| Provider Name | Christina D Rose |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275740847 PECOS PAC ID: 0244417939 Enrollment ID: I20110606000728 |
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