Nicole Rogers
NPI #1457183691 in South Bend, Indiana
Provider Information
- NPI Number
- 1457183691
- Entity Type
- Individual
- Name
- Nicole Rogers
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Aug 16, 2024
- Last Updated
- Dec 20, 2024
Practice Location
- Address
- 621 MEMORIAL DR STE 100
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46601-1063
- Phone
- (574) 647-1100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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