Laura Rose

NPI #1457202558 in Grosse Ile, Michigan

Provider Information

NPI Number: 1457202558
Entity Type: Individual
Name: Laura Rose
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Feb 4, 2026
Last Updated: Feb 4, 2026

Practice Location

Address: 21985 RHODODENDRON CIR
City: Grosse Ile
State: Michigan
ZIP Code: 48138-1481
Phone: (734) 624-9531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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