Individual
MS. PENNY LOU ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4533 W INDUSTRIAL PARK DR, KINCHELOE, MI 49786-0001
(906) 495-5661
Mailing address
9586 S MACKINAC TRL, SAULT SAINTE MARIE, MI 49783-9267
(906) 632-7138
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704114228
MI
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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