Search › Michigan › 152W00000X
Ken Rose, OD
NPI 1700927886 · on the registry since 2007
Practice
- Address
- 5800 N. Bayshore Dr
Glendale, MI 53217 - Phone
- (414) 962-2021
- Fax
- (414) 962-2441
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan