Individual
BRANDON KEITH ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1721 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801-3637
(906) 774-1313
Mailing address
N2940 QUINNESEC LAKE ANTOINE RD, IRON MOUNTAIN, MI 49801
(906) 399-6400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704287555
MI
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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