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Roseville Medical, P.c.
Specialist in Roseville, Michigan
NPI 1700917291

Roseville Medical, P.c. is a Specialist based in Roseville, MI. Roseville Medical, P.c. practices in Roseville, MI. The NPI Number for Roseville Medical, P.c. is 1700917291 and holds a License No. JJ033038 (Michigan).

The current practice location address for Roseville Medical, P.c. is 25959 Kelly Rd, Roseville, MI and can be reached out via phone at 586-774-9010 and via fax at 586-774-6758.

Location: 25959 Kelly Rd, Roseville, MI, 48066-4991
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700917291
Provider Name
Roseville Medical, P.c.
Credential
Provider Entity Type
Organization
Address
25959 Kelly Rd, Roseville, MI, 48066-4991
Phone Number
586-774-9010
Fax Number
586-774-6758
Provider Enumeration Date
03/08/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
0E018170 01 MI BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
25959 Kelly Rd
City
Roseville
State
Michigan
Zip
48066-4991
Phone Number
586-774-9010
Fax Number
586-774-6758
person
Provider Business Mailing Address Details
Address
25959 Kelly Rd
City
Roseville
State
Michigan
Zip
48066-4991
Phone Number
586-774-9010
Fax Number
586-774-6758
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
JJ033038 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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