Shanna R Rodgers, MA

NPI #1003164526 in Coloma, Michigan

Provider Information

NPI Number: 1003164526
Entity Type: Individual
Name: Shanna R Rodgers, MA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Credential: MA
Enumeration Date: Aug 15, 2012
Last Updated: Aug 15, 2012

Practice Location

Address: 6559 PAW PAW AVE
City: Coloma
State: Michigan
ZIP Code: 49038-8805
Phone: (269) 468-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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