Rogers, Craig Glenn

Rogers, Craig Glenn is an individual health care provider with primary practice located at 2799 W Grand Blvd K9 Urology, Detroit MI 48202-2608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Rogers, Craig Glenn can be contacted via phone (313) 916-2641.

Contact Information

Primary practice address
2799 W Grand Blvd K9 Urology Detroit MI 48202-2608
Phone: (313) 916-2641
Fax: (313) 916-4900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X D63779 Maryland

Profile Details

NPI number 1689602815
LBN Legal business name Rogers, Craig Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Dec 4th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689602815 NPPES
Maryland MEDICAID 409743200

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