Organization · Type 2 NPI
Octavetien Rogers
Health Service Clinic/Center · Dearborn, MI
NPI number
1972757193
Active
Practice location
221 N Silvery Ln
Dearborn, MI 48128-1593
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | 699577 (MI) |
Health Service Clinic/Center: Definition to come...
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About NPI 1972757193
Octavetien Rogers's National Provider Identifier is 1972757193, issued on Nov 14, 2008. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Dearborn, MI. The record was last updated on Apr 29, 2009.