Doctor Name: | MISS MICHELLE LYNN RODGERS |
NPI Number: | 1043456684 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A.-C |
License Number: | MA053707 |
Business Practice Address: | 6th Avenue & Spruce Street The Reading Hospital And Medical Center Reading, PA - 19612 |
Business Phone Number: | 6105683637 |
Business Fax Number: | |
Mailing Address: | 645 N Charlotte St, POTTSTOWN |
State: | PA |
Postal Code: | 194644604 |
Phone Number: | 6103108882 |
Fax Number: | |
NPI Enumeration Date: | 01/04/2009 |
NPI Last Update Date: | 01/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | MA053707 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |