NATHANIEL T ROSS

GARY, IN
NPI1417942707
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01052287)
Enumeration Date2005-09-13
Last Update Date2011-12-15
Business Address
Mr. NATHANIEL T ROSS MD
1619 W 5TH AVE
GARY, IN 46404-1506
Phone number: 219-886-4788
Mailing Address
Mr. NATHANIEL T ROSS MD
PO BOX 4787
GARY, IN 46404-0787
Phone number: 219-886-4788
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