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Individual

ROGER PACKARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
601 JOHN ST, SUITE N1100, KALAMAZOO, MI 49007-5341
(269) 341-7887
(269) 341-6178
Mailing address
601 JOHN ST, SUITE N1100, KALAMAZOO, MI 49007-5341
(269) 341-7887
(269) 341-6178

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
5101021485
MI
207V00000X
Obstetrics & Gynecology Physician
OT012687
PA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
5101021485
MI

Other

Enumeration date
02/26/2008
Last updated
11/27/2023
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