Individual
DR. KATIE R UGOLINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4070 LAKE DR SE, SUITE 202, GRAND RAPIDS, MI 49546-8294
(616) 464-4420
(616) 464-4354
Mailing address
4070 LAKE DR SE, SUITE 202, GRAND RAPIDS, MI 49546-8294
(616) 464-4420
(616) 464-4354
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301087811
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4868680
—
MI
Enumeration date
07/12/2006
Last updated
07/08/2007
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