Organization
EUGENE D ROHACZ D P M P C
Active
Parent organization
EUGENE D ROHACZ D P M P C
Organization subpart
Yes
Provider details
NPI number
Legal business name
EUGENE D ROHACZ D P M P C
Authorized official
DR. EUGENE D ROHACZ D.P.M. (OWNER)
(517) 780-7880
Entity
Organization
Contact information
Practice address
1518 W MICHIGAN AVE, JACKSON, MI 49202-4025
(517) 780-7780
(517) 437-0372
Mailing address
1518 W MICHIGAN AVE, JACKSON, MI 49202-4025
(517) 780-7780
(517) 437-0372
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901001700
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3054981
—
MI
Enumeration date
11/26/2012
Last updated
05/01/2015
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