Provider Demographics
NPI:1356568406
Name:ROGG, SCHUYLER ANDREW (MD)
Entity type:Individual
Prefix:DR
First Name:SCHUYLER
Middle Name:ANDREW
Last Name:ROGG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8917 PICTURED ROCK DR
Mailing Address - Street 2:
Mailing Address - City:BYRON CENTER
Mailing Address - State:MI
Mailing Address - Zip Code:49315-9162
Mailing Address - Country:US
Mailing Address - Phone:561-398-7473
Mailing Address - Fax:
Practice Address - Street 1:555 W WACKERLY ST STE 3625
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-4715
Practice Address - Country:US
Practice Address - Phone:989-832-4203
Practice Address - Fax:989-832-4203
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARTP 001776207L00000X
MI4301101968208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology