# MAURA BAGOS, D.O., P.C.

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

## Provider details

- **NPI number:** 1891726386
- **Authorized official:** MAURA LYNN BAGOS D.O. (DOCTOR)
- **Authorized official phone:** (248) 244-8545

## Contact information

- **Practice address:** 2701 TROY CENTER DR STE 260, TROY, MI 48084-4741
- **Practice address phone:** (248) 244-8545
- **Practice address fax:** (248) 244-8582
- **Mailing address:** 2701 TROY CENTER DR STE 260, TROY, MI 48084-4741
- **Mailing address phone:** (248) 244-8545
- **Mailing address fax:** (248) 244-8582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MB011649 | MI | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 08/01/2008