Individual
JAIME LYNNE ROGALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3137
(248) 849-2052
Mailing address
33747 BARTOLA DR, STERLING HEIGHTS, MI 48312-5794
(586) 291-0767
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005585
MI
Other
Enumeration date
09/24/2009
Last updated
07/16/2014
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