Individual
JOHN M OGRADY
Active
Individual
JOHN M OGRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301054868
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G30089
GROUP BCBSM ID
MI
01
—
0G36036
GROUP MEDICARE ID
—
01
—
1427090976
GROUP NPI
—
01
—
43010054868
LICENSE #
MI
01
—
CA3610
RAILROAD MEDICARE
MI
Enumeration date
09/02/2005
Last updated
09/18/2023
Update your record
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