Individual
MRS. HAZEL ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1350 LESAUK DR, SARTELL, MN 56377-2127
(320) 252-7546
Mailing address
1350 LESAUK DR, SARTELL, MN 56377-2127
(320) 252-7546
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13954
MN
Other
Enumeration date
02/09/2022
Last updated
01/10/2025
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