ROSE PEDIATRIC PC NPI 1235324799

NPI Information

  • NPI: 1235324799
  • Provider Name: ROSE PEDIATRIC PC
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • Address: 22341 W 8 MILE RD
    DETROIT, MI
    ZIP 48219
  • Phone: (313) 255-2209

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NPI Details

ROSE PEDIATRIC PC is an adolescent medicine pediatrics in Detroit, MI. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. ROSE PEDIATRIC PC NPI is 1235324799. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

22341 W 8 MILE RD
DETROIT, MI
ZIP 48219-217
Phone: (313) 255-2209
Fax: (313) 255-0773

The provider's authorized official is Jorge Rose .
The authorized official title is President and has the following contact phone number (313) 255-2209.

The enumeration date for this NPI number is 9/7/2007 and was last updated on 9/7/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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