Jack R. Roossien, M.D.
Family Medicine · West Olive, MI
UnclaimedM.D.NPI 1184610669
- Primary taxonomy
- 207Q00000X
- Enumerated
- 2005-09-21
- Practice location
- West Olive, MI
- Last NPPES update
- 2019-06-07
State licenses
- MI · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.