Individual
MIRANDA JO ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2098 S MAIN ST, ANN ARBOR, MI 48103-5827
(734) 936-5780
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
10964124-1205
UT
207X00000X
Orthopaedic Surgery Physician
Primary
4301509753
MI
207X00000X
Orthopaedic Surgery Physician
61265811
WA
Other
Enumeration date
03/27/2017
Last updated
09/07/2023
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