Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Conner Douglas Rose

Individual provider Technician/Technologist · NPI 1912663683

Conner Douglas Rose is a Technician/Technologist in Bingham Farms, Michigan. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

32100 Telegraph Rd Ste 205
Bingham Farms, MI 48025-2454
Phone: (248) 621-4792
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Technician/Technologist (primary) Taxonomy 156F00000X

Record details

NPI number1912663683
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 16, 2021
Last updated in NPPESNovember 16, 2021
Certification dateNovember 16, 2021

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