Individual
DR. JAMES K BAGULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 752-3092
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301051586
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279482810
—
MI
Enumeration date
06/27/2006
Last updated
07/30/2010
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