Individual
NICHOLAS R ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
914 S 8TH ST, S100, MINNEAPOLIS, MN 55404-1210
(612) 873-2921
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
24440
MN
Other
Enumeration date
08/03/2006
Last updated
07/30/2007
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