# TONY L BOGGESS DO PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447499348
- **Authorized official:** DR. TONY LEE BOGGESS D.O. (PRESIDENT)
- **Authorized official phone:** (734) 761-3450

## Contact information

- **Practice address:** 1310 S MAIN ST, ANN ARBOR, MI 48104-3786
- **Practice address phone:** (734) 786-3833
- **Mailing address:** 744 PENINSULA CT, ANN ARBOR, MI 48105-2508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 5101016620 | MI | Yes |

## Other

- **Enumeration date:** 02/17/2009
- **Last updated:** 02/17/2009
