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Individual

DR. GEOFFREY D OSGOOD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
20952 E 12 MILE RD, SUITE 150, ST CLAIR SHORES, MI 48081-3200
(586) 777-6200
(586) 777-6209
Mailing address
20952 E 12 MILE RD, SUITE 150, ST CLAIR SHORES, MI 48081-3200
(586) 777-6200
(586) 777-6209

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301049346
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2733537
MI
Enumeration date
05/15/2006
Last updated
07/08/2007
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