Individual
MAGDALEN ROSE KOGUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
8901 SENEY DR, DIMONDALE, MI 48821-9633
(651) 734-8776
Mailing address
8901 SENEY DR, DIMONDALE, MI 48821-9633
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704359799
MI
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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