NW Family Practice Rogers

NPI #1093898322 in Rogers, Minnesota

Provider Information

NPI Number
1093898322
Entity Type
Organization
Organization Name
NW Family Practice Rogers
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Oct 23, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
21305 JOHN MILLESS DR
City
Rogers
ZIP Code
55374-9450
Phone
(612) 428-2206

Authorized Official

Name
DIRENDIA SHACKELFORD
Title
MANAGED CARE SPECIALIST
Phone
(800) 654-0889

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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