# DR. MICHELLE DENISE COLLINS-OGLE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1336275403
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 200000753 | NC | — |
| 208000000X | Pediatrics Physician | 295923 | NY | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 295923 | NY | Yes |

## Other

- **Enumeration date:** 02/25/2007
- **Last updated:** 10/21/2019