Individual
CHARLOTTE MARIE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-1669
(651) 254-5292
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
65916
MN
208600000X
Surgery Physician
A180371
CA
2086S0102X
Surgical Critical Care Physician
65916
MN
2086S0102X
Surgical Critical Care Physician
A180371
CA
2086S0127X
Trauma Surgery Physician
65916
MN
2086S0127X
Trauma Surgery Physician
A180371
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2016
Last updated
09/15/2023
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