Individual
HALEY ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2720 FAIRVIEW AVE N STE 200, ROSEVILLE, MN 55113-1306
(612) 360-1332
Mailing address
2720 FAIRVIEW AVE N STE 200, ROSEVILLE, MN 55113-1306
(612) 360-1332
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085006477
IL
363A00000X
Physician Assistant
Primary
13742
MN
Other
Enumeration date
02/26/2018
Last updated
03/09/2022
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