Provider Demographics
NPI:1235544941
Name:BROTHERS, ROSS JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSS
Middle Name:JOSEPH
Last Name:BROTHERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:29355 NORTHWESTERN HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-1088
Mailing Address - Country:US
Mailing Address - Phone:248-353-0880
Mailing Address - Fax:888-368-7898
Practice Address - Street 1:29355 NORTHWESTERN HWY STE 200
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034
Practice Address - Country:US
Practice Address - Phone:248-353-0880
Practice Address - Fax:888-368-7898
Is Sole Proprietor?:No
Enumeration Date:2014-06-23
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301105357207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology