Individual
ABBY JAYNE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25 MICHIGAN ST NE, SUITE 6100, GRAND RAPIDS, MI 49503-2515
(616) 267-7900
(616) 267-7901
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560
(616) 267-7900
(616) 267-7901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005717
MI
Other
Enumeration date
05/04/2010
Last updated
10/19/2016
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