Individual
LILY RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301511583
MI
207R00000X
Internal Medicine Physician
MD61268536
WA
208M00000X
Hospitalist Physician
MD61268536
WA
390200000X
Student in an Organized Health Care Education/Training Program
4301114629
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346734415
—
WA
Enumeration date
06/21/2018
Last updated
06/11/2024
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