Individual provider · Type 1 NPI

Roger W. Edvenson, MD

Obstetrics & Gynecology Physician · Grand Rapids, MI

NPI number 1073531869 Active

Practice location

555 Midtowne Street NE, Suite 400
Grand Rapids, MI 49503-5731

Call (616) 588-1200 Map

Fax (616) 588-1250

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X4301047210 (MI)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1073531869

Roger W. Edvenson, MD's National Provider Identifier is 1073531869, issued on Jul 18, 2006. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 7, 2011.