Individual
GREGORY J ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7255 OLD OAK BLVD, STE 108, MIDDLEBURG HEIGHTS, OH 44130-3329
(440) 816-2786
(440) 816-5454
Mailing address
7255 OLD OAK BLVD, STE C108, MIDDLEBURG HEIGHTS, OH 44130-3329
(440) 816-2786
(440) 816-5454
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
35-04-8694R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0530705
—
OH
Enumeration date
03/29/2006
Last updated
01/19/2021
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