Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROGER TRAVIS, DPM
Active Sole ProprietorROGER TRAVIS, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in MADISON HTS, Michigan. NPI 1619165420 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · MADISON HTS, MI
Registration Details
- NPI Number
- 1619165420
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 5, 2007 (18.847473413187 yrs)
- Last Updated
- Jan 9, 2017
- Licenses
-
PO 3865 (FL)PO 3865 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
27351 DEQUINDRE RDMADISON HTS, MI, 480713487Browse MI providers · Browse ZIP 48071
- Phone
- 2489677795
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
- Additional Specialty
- Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.