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Individual

DR. MICHAEL ROGELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2535 E MOUNT HOPE AVE, LANSING, MI 48910-1913
(517) 372-2377
(517) 372-2542
Mailing address
2535 E MOUNT HOPE AVE, LANSING, MI 48910-1913
(517) 372-2377
(517) 372-2542

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401001324
MI
103TC0700X
Clinical Psychologist
Primary
6301008175
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
038457
BLUE CARE NETWORK
MI
01
61-45419
UNITED BEHAVIORAL HEALTH
MI
01
680C312960
BCBS/MICHIGAN
MI
Enumeration date
06/15/2006
Last updated
12/27/2019
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