Individual
DR. MICHAEL ANDREW ROGOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1750 SIDEWINDER DR, PARK CITY, UT 84060-7570
(435) 649-7640
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 649-7640
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101054451
VA
207P00000X
Emergency Medicine Physician
Primary
9661223-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010094267
—
VA
01
—
P00152937
RRMED
VA
Enumeration date
02/09/2006
Last updated
09/15/2021
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