Individual
MR. BRIAN WILLIAM ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N. L.P.N.
Contact information
Practice address
712 NORTH CENTER DR. NW, GRAND RAPIDS, MI 49544
(616) 784-1454
Mailing address
3618 HUBAL AVE SW, WYOMING, MI 49519-3738
(616) 889-3442
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704218039
MI
Other
Enumeration date
09/14/2012
Last updated
08/20/2018
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