Individual
DR. NATHAN JOSEPH RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MHA
Contact information
Practice address
2450 RIVERSIDE AVE, EAST BUILDING, ROOM MB560, 8951H, MINNEAPOLIS, MN 55454-1450
(612) 626-2755
(612) 626-2467
Mailing address
2450 RIVERSIDE AVE, EAST BUILDING, ROOM MB560, 8951H, MINNEAPOLIS, MN 55454-1450
(612) 626-2755
(612) 626-2467
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
57063
MN
2080P0202X
Pediatric Cardiology Physician
Primary
57063
MN
2080P0202X
Pediatric Cardiology Physician
Q8784
TX
390200000X
Student in an Organized Health Care Education/Training Program
57063
MN
Other
Enumeration date
03/23/2010
Last updated
06/19/2016
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