Individual
DR. CHARLES ALFRED ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2545 CHICAGO AVENUE SOUTH, SUITE 405, MINNEAPOLIS, MN 55404-4544
(612) 871-5511
(612) 871-0996
Mailing address
2545 CHICAGO AVENUE SOUTH, SUITE 405, MINNEAPOLIS, MN 55404-4544
(612) 871-5511
(612) 871-0996
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0414742
KS
208000000X
Pediatrics Physician
19438
WI
208000000X
Pediatrics Physician
Primary
20144
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00337001
PREFERRED ONE
MN
01
—
0N261RO
BLUE CROSS BLUE SHIELD MN
MN
01
—
111171
UCARE OF MINNESOTA
MN
01
—
1200067
MEDICA HEALTH PLAN
MN
01
—
V41130100922689
HEALTHPARTNERS
MN
Enumeration date
08/01/2006
Last updated
07/08/2007
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