Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roger Maillefer, MD

Individual provider Surgery Physician · NPI 1558373696

Roger Maillefer, MD is a General Surgery in Charlevoix, Michigan. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1993, 33 years ago. Practices with Munson Healthcare Charlevoix Hospital, a 54-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
33
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IL, MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14695 Park Ave Ste A
Charlevoix, MI 49720-1920
Phone: (231) 547-2812
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1619 Anderson Rd, Petoskey, MI 49770-9256 — (231) 547-2812

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4301503936 (MI)
Surgery Physician Taxonomy 208600000X · Licence 036-098042 (IL)

Record details

NPI number1558373696
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 13, 2006
Last updated in NPPESDecember 12, 2025
Certification dateDecember 12, 2025
Mailing address14695 Park Ave, Ste A, Charlevoix, MI 49720-1920

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 1993 (33 years in practice)
Group practice Munson Healthcare Charlevoix Hospital — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Charlevoix