Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK R. ROOSSIEN JR., M.D.P.C.
Active OrganizationJACK R. ROOSSIEN JR., M.D.P.C. is a Family Medicine organization located in WEST OLIVE, Michigan. NPI 1740406982 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · WEST OLIVE, MI
Registration Details
- NPI Number
- 1740406982
- Provider Type
- Organization
- NPI Issued
- Apr 17, 2007 (19.147425692347 yrs)
- Last Updated
- May 27, 2008
- License
-
4301050437 (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
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.