Individual
NICHOLETTE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2500 METROHEALTH DR, MHMC-MEDICINE-GASTROENTEROLOGY, CLEVELAND, OH 44109-1900
(216) 778-2039
Mailing address
2500 METROHEALTH DR, MHMC-MEDICINE-GASTROENTEROLOGY, CLEVELAND, OH 44109-1900
(216) 778-2039
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001418
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28052642600
BWC
OH
Enumeration date
12/02/2006
Last updated
07/08/2007
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