Provider Demographics
NPI:1629340526
Name:ROSSI, MICHAEL R (PHD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:R
Last Name:ROSSI
Suffix:
Gender:M
Credentials:PHD
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Mailing Address - Street 1:EMORY UNIVERSITY HOSPITAL
Mailing Address - Street 2:DEPARTMENT OF PATHOLOGY, ROOM H185
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-0001
Mailing Address - Country:US
Mailing Address - Phone:203-889-8404
Mailing Address - Fax:404-727-3133
Practice Address - Street 1:EMORY UNIVERSITY HOSPITAL
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY, ROOM H185
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-0001
Practice Address - Country:US
Practice Address - Phone:203-889-8404
Practice Address - Fax:404-727-3133
Is Sole Proprietor?:No
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician