Individual
AUGUSTINE OSAGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 WILLIAM CARLS DR, COMMERCE TWP, MI 48382-2201
(734) 464-0887
(734) 402-0254
Mailing address
4967 CROOKS RD, STE 130, TROY, MI 48098-5801
(248) 952-1601
(248) 952-1614
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301069070
MI
208M00000X
Hospitalist Physician
4301069070
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4868760-10
—
MI
01
—
70-0-F32947-0
BCBS CPIN #
MI
01
—
AO069070
BCBSM
MI
Enumeration date
05/11/2006
Last updated
09/15/2015
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