Individual
CRAIG GLENN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, K9 UROLOGY, DETROIT, MI 48202-2608
(313) 916-2641
(313) 916-4900
Mailing address
2799 W GRAND BLVD, K9 UROLOGY, DETROIT, MI 48202-2608
(313) 916-2641
(313) 916-4900
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D63779
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409743200
—
MD
Enumeration date
06/28/2006
Last updated
12/04/2013
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