Individual
MR. MARK RONALD ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1775 E 14 MILE ROAD SUITE 120, BIRMINGHAM, MI 48009
(248) 761-4135
Mailing address
808 SATTERLEE RD, BLOOMFIELD HILLS, MI 48304
(248) 761-4135
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501005688
MI
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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