Individual
ROGER ALAN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
270 HOOVER BLVD, HOLLAND, MI 49423-3719
(616) 396-2972
(616) 396-2808
Mailing address
270 HOOVER BLVD, HOLLAND, MI 49423-3719
(616) 396-2972
(616) 396-2808
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
4301047365
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1739680
—
MI
Enumeration date
06/10/2006
Last updated
11/26/2012
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