Provider Demographics
NPI:1508008814
Name:NMRS, P.C.
Entity Type:Organization
Organization Name:NMRS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:231-348-1995
Mailing Address - Street 1:267 CREEKSIDE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-7609
Mailing Address - Country:US
Mailing Address - Phone:231-348-1995
Mailing Address - Fax:231-347-3223
Practice Address - Street 1:267 CREEKSIDE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-7609
Practice Address - Country:US
Practice Address - Phone:231-348-1995
Practice Address - Fax:231-347-3223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010645582081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty