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Individual

ANGELA RENEE ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
625 E NICOLLET BLVD STE 203, BURNSVILLE, MN 55337-6735
(218) 208-2070
Mailing address
820 SPRINGER DR, LOMBARD, IL 60148-6413
(815) 744-8554

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1188
MN

Other

Enumeration date
09/08/2008
Last updated
01/25/2022
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