Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK RICHARD ROOSSIEN JR., M.D.
ActiveDR. JACK RICHARD ROOSSIEN JR., M.D. is a Family Medicine healthcare provider located in WEST OLIVE, Michigan. NPI 1184610669 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · WEST OLIVE, MI
Registration Details
- NPI Number
- 1184610669
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 21, 2005 (20.717293435045 yrs)
- Last Updated
- Jun 7, 2019
- License
-
JR050437 (MI)
Practice Information
- Address
-
15151 STANTON STSUITE AWEST OLIVE, MI, 494608543Browse MI providers · Browse ZIP 49460
- Phone
- 6162961020
- Fax
- 6162961030
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in WEST OLIVE, MI
| Name | Credential | NPI |
|---|---|---|
| MATTHEW TORNGA | D.O. | 1902255714 |
| SEAN M CUNNINGHAM | DO | 1023469590 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.