Organization
TOVA ROGERS MD MFA PLLC
Active
Other names
Rogers Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOVA ROGERS MD (OWNER)
(248) 894-0196
Entity
Organization
Contact information
Practice address
1404 BRIDGE ST, CHARLEVOIX, MI 49720-2603
(231) 497-1272
(248) 780-6936
Mailing address
1404 BRIDGE ST, CHARLEVOIX, MI 49720-2603
(248) 894-0196
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301504820
MEDICAL LICENSE
MI
Enumeration date
10/13/2022
Last updated
01/04/2023
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