Individual
GINGER MARIE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-8500
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6614
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5002591
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0069989
—
OH
Enumeration date
05/20/2008
Last updated
12/15/2020
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