Individual
DAVID M. OZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3031 W GRAND BLVD, DETROIT, MI 48202-3046
(313) 916-2454
Mailing address
3031 W GRAND BLVD, DETROIT, MI 48202-3046
(313) 916-2454
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
4301076533
MI
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
4301076533
MI
207NS0135X
Procedural Dermatology Physician
4301076533
MI
Other
Enumeration date
11/02/2006
Last updated
01/16/2013
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