Provider Demographics
NPI:1285928093
Name:HEGEMAN-DINGLE, ROZELLE RENEE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ROZELLE
Middle Name:RENEE
Last Name:HEGEMAN-DINGLE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3393 SEMINOLE CT
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-4701
Mailing Address - Country:US
Mailing Address - Phone:248-844-9279
Mailing Address - Fax:
Practice Address - Street 1:3393 SEMINOLE CT
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48309-4701
Practice Address - Country:US
Practice Address - Phone:248-844-9279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020280051835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy