National Provider Identifier Database

MICHAEL A ROSS, MD – NPI #1124053582
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

MICHAEL A ROSS, MD
1789 SHAWANO AVE
GREEN BAY, WI54303
Phone: 920-499-1428
Fax: 920-499-5808
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for MICHAEL A ROSS

NPI Number 1124053582
Credentials MD
Entity Individual
Enumeration date 07/12/2006
Last updated 11/05/2009 - About 17 years ago
Sole proprietor1 No
Identifiers
  • WI License #: 32874-020
  • MI Medicaid: 4723997
  • MI Medicaid: 4767230
  • WI Medicaid: 31799500
  • Other: 14448 DEAN HEALTH
  • Other: 567565 DEAN HEALTH
  • Other: 300030636 RR MEDICARE
  • Other: 1018926002 UNITED HEALTHCARE MEDICAI
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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