Individual
MR. ETHAN T OGANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
1200 N TELEGRAPH RD, PONTIAC, MI 48341-1032
(800) 231-1127
Mailing address
1200 N TELEGRAPH RD BLDG 32E, PONTIAC, MI 48341-1032
(800) 231-1127
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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