NPI 1093898322
NW Family Practice Rogers
Practice location
- Address
- 21305 John Milless Dr, Rogers, MN 55374-9450
- Phone
- (612) 428-2206
- Fax
- (612) 428-2530
Authorised official
- Name
- Direndia Shackelford
- Title
- Managed Care Specialist
- Phone
- (800) 654-0889
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1093898322
- Entity type
- Organization
- NPI issued
- 23 Oct 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.