Individual
DR. IRENE ERICA ROGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
1558 VICTORIA CT, GREENWOOD, IN 46143-7884
(317) 697-6536
(317) 859-2923
Mailing address
1558 VICTORIA CT, GREENWOOD, IN 46143-7884
(317) 697-6536
(317) 859-2923
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07001009A
IN
213E00000X
Podiatrist
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00276788
RAILROAD MEDICARE
IL
01
—
P00336058
RAILROAD MEDICARE
IN
Enumeration date
08/01/2006
Last updated
01/07/2008
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