Individual
DR. KAREN SUE OGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 JEFFERSON AVE, GRAND RAPIDS, MI 49503
(616) 685-5000
(616) 685-5260
Mailing address
245 STATE ST SE, STE 221, GRAND RAPIDS, MI 49503
(616) 685-1808
(616) 685-1850
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
4301043177
MI
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
4301043177
MI
Other
Enumeration date
08/24/2006
Last updated
06/16/2010
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