NW Family Practice Rogers
NW Family Practice Rogers is a Non-Pharmacy Dispensing Site in Rogers, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.
- Licensed in
- MN
- In the registry since
- 2006
Practice location Address checks out
21305 John Milless DrRogers, MN 55374-9450
Phone: (612) 428-2206
Fax: (612) 428-2530
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X · Licence 17330 (MN) |
|---|
Record details
| NPI number | 1093898322 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Direndia Shackelford — Managed Care Specialist · (800) 654-0889 |
| Other names | Nw Family Practice Rogers |
| NPI enumerated | October 23, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 21305 John Milless Dr, Rogers, MN 55374-9450 |