Individual
ROGER TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
27351 DEQUINDRE RD, MADISON HTS, MI 48071-3487
(248) 967-7795
Mailing address
2424 ROCHESTER RD, ROYAL OAK, MI 48073-3633
(434) 250-4862
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO 3865
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 3865
FL
Other
Enumeration date
10/05/2007
Last updated
01/09/2017
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