Ross Id Specialists Pllc | |
7110 Orchard Lake Rd West Bloomfield MI 48322-3794 | |
(469) 891-8300 | |
Not Available |
Full Name | Ross Id Specialists Pllc |
---|---|
Speciality | Internal Medicine |
Location | 7110 Orchard Lake Rd, West Bloomfield, Michigan |
Authorized Official Name and Position | Christopher Ross (OWNER) |
Authorized Official Contact | 4698918300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ross Id Specialists Pllc 7110 Orchard Lake Rd Unit 2012 West Bloomfield MI 48322-4355 Ph: () - | Ross Id Specialists Pllc 7110 Orchard Lake Rd West Bloomfield MI 48322-3794 Ph: (469) 891-8300 |
NPI Number | 1215761465 |
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Provider Enumeration Date | 08/29/2024 |
Last Update Date | 02/14/2025 |
Medicare PECOS PAC ID | 6608307962 |
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Medicare Enrollment ID | O20240927001779 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215761465 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Christopher Ross |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1194259986 PECOS PAC ID: 6002186897 Enrollment ID: I20220614002985 |
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