Individual
RODGER WESLEY MASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1004 N US 27, ST JOHNS, MI 48879
(989) 224-8228
(989) 224-2157
Mailing address
1004 N US 27, ST JOHNS, MI 48879
(989) 224-8228
(989) 224-2157
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
RM005731
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000000002355
PHP
—
05
—
2712107
—
MI
01
—
950A95135
BC
—
Enumeration date
02/22/2007
Last updated
01/09/2008
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