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Individual

DR. DWAIN M. ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
406 W OAK ST, TITUSVILLE, PA 16354-1404
(814) 827-4244
(814) 827-6643
Mailing address
PO BOX 302, TITUSVILLE, PA 16354-0302
(814) 827-4244
(814) 827-6643

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036125438
IL
208600000X
Surgery Physician
196503
NY
208600000X
Surgery Physician
24808
NE
208600000X
Surgery Physician
34662
IA
208600000X
Surgery Physician
MD074183L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036125438
IL
Enumeration date
01/11/2007
Last updated
03/30/2016
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