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Individual

DR. NEAL WARREN GOGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7000 PORTAGE RD, PORT 41-004, KALAMAZOO, MI 49001-0102
(269) 833-8691
(269) 833-3431
Mailing address
198 EDGEHILL DR, BATTLE CREEK, MI 49015-3922
(269) 660-9606
(269) 833-3431

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
4301043718
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2622663
MI
Enumeration date
05/07/2007
Last updated
07/08/2007
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