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General NPI Number Information
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NPI Number | 1538357033
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Entity Type | Individual
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Provider Name | MICHAEL ANDREW ROGAWSKI M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 06/02/2016
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Provider Practice Location Address
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Address Line | 4860 Y ST SUITE 3700
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City | SACRAMENTO
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State | CA
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Zip | 95817-2307
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Country | US
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Telephone | 916-734-6275
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Fax | 916-724-6526
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Provider Business Mailing Address
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Address Line | 4860 Y ST STE 3700
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City | SACRAMENTO
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State | CA
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Zip | 95817-2307
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | G88105
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License Number State | CA
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