Individual
DR. JON MICHAEL ROGOVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3731 WHIPPLE AVE NW, CANTON, OH 44718-2933
(330) 493-3363
(330) 493-3876
Mailing address
3731 WHIPPLE AVE NW, CANTON, OH 44718-2933
(330) 493-3363
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
36001570
OH
213ES0131X
Foot Surgery Podiatrist
Primary
36001570
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160552
—
OH
Enumeration date
04/04/2006
Last updated
03/22/2008
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