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Octavetien Rogers
Health Service Clinic/Center in Dearborn, Michigan
NPI 1972757193

Octavetien Rogers is a Health Service Clinic/Center based in Dearborn, MI and is specialized in Health Service. Octavetien Rogers practices in Dearborn, MI. The NPI Number for Octavetien Rogers is 1972757193 and holds a License No. 699577 (Michigan).

The current practice location address for Octavetien Rogers is 221 N Silvery Ln, Dearborn, MI and can be reached out via phone at 313-914-2102.

Location: 221 N Silvery Ln, Dearborn, MI, 48128-1593
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972757193
Provider Name
Octavetien Rogers
Credential
Provider Entity Type
Organization
Address
221 N Silvery Ln, Dearborn, MI, 48128-1593
Phone Number
313-914-2102
Fax Number
Provider Enumeration Date
11/14/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
221 N Silvery Ln
City
Dearborn
State
Michigan
Zip
48128-1593
Phone Number
313-914-2102
Fax Number
person
Provider Business Mailing Address Details
Address
221 N Silvery Ln
City
Dearborn
State
Michigan
Zip
48128-1593
Phone Number
313-914-2102
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
699577 (Michigan)
Definition
Definition to come...
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