Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 62162 | MN |
NPI | 1316247323 |
---|---|
Provider Name | Dr. Melinda June Rogers Ross Pierce |
First Address | Portland, OR 97239-3011 |
Second Address | Minneapolis, MN 55404-4289 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2010 |
Last Update Date | 10/07/2017 |