Organization
PATHWAY FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN K. ROGERS MD (OWNER)
(574) 297-1268
Entity
Organization
Contact information
Practice address
301 W HARRISON ST, MONTICELLO, IN 47960-2211
(574) 240-1111
(574) 240-1113
Mailing address
407 LONGTREE LN, LOGANSPORT, IN 46947-2427
(574) 297-1268
(574) 240-1113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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