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Individual

THADDEUS ROGALLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS/CCC-SLP

Contact information

Practice address
500 OSBORN BLVD, SAULT SAINTE MARIE, MI 49783-1884
(906) 635-4426
Mailing address
500 OSBORN BLVD, SAULT SAINTE MARIE, MI 49783-1884
(906) 635-4426

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14131489
MI

Other

Enumeration date
11/30/2018
Last updated
11/30/2018
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