Individual
DR. AIMEE ELISE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
611 E DOUGLAS RD STE 203, MISHAWAKA, IN 46545-1467
(574) 335-6830
(574) 335-0855
Mailing address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01072434A
IN
208800000X
Urology Physician
MD179156
OR
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
01072434A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000814023
ANTHEM
IN
01
—
1105941335
ANTHEM
IN
05
—
201149850
—
IN
05
—
500719528
—
OR
Enumeration date
06/28/2007
Last updated
03/20/2026
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