Individual
DAVID RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.N., M.S.
Contact information
Practice address
2585 SUNNYKNOLL AVE STE 201, BERKLEY, MI 48072-1530
(248) 291-7722
(248) 636-4606
Mailing address
14097 VICTORIA ST, OAK PARK, MI 48237-1411
(248) 291-7722
(248) 636-4606
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
N201
MN
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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