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1124053582
MICHAEL A ROSS
GREEN BAY, WI
NPI
1124053582
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: WI 32874-020)
Enumeration Date
2006-07-12
Last Update Date
2009-11-05
Business Address
-- MICHAEL A ROSS MD
1789 SHAWANO AVE
GREEN BAY, WI 54303
Phone number: 920-499-1428
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Mailing Address
-- MICHAEL A ROSS MD
PO BOX 3006
GREEN BAY, WI 54303
Phone number: 920-499-1428
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