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Individual
JERRY P ROGERS
Active
Individual
JERRY P ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25477
MN
207Q00000X
Family Medicine Physician
4728
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0106001
MEDICA #
MN
01
—
0106002
MEDICA #
ND
01
—
0108164
MEDICA #
ND
01
—
080039937
RAILROAD
MN
01
—
122946
UCARE #
MN
05
—
14614
—
MN
01
—
15959
SIOUX VALLEY #
MN
01
—
1739
NDBS #
ND
01
—
27362RO
MNBS #
NC
01
—
28527RO
MNBS #
ND
01
—
6439
NDBS #
MN
01
—
664582
AMERICA'S PPO/ARAZ #
MN
01
—
83D94RO
MNBS #
MN
05
—
944307000
—
MN
01
—
DA9011015630
PREFERRED ONE #
MN
01
—
HP19577
HEALTHPARTNERS #
MN
01
—
MN100035
LHS #
MN
Enumeration date
07/03/2006
Last updated
10/21/2011
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