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Individual

DR. RONALD S BOGDASARIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5333 MCAULEY DR, SUITE 2017, YPSILANTI, MI 48197-1014
(734) 434-3200
(734) 434-3209
Mailing address
5333 MCAULEY DR, SUITE 2017, YPSILANTI, MI 48197-1014
(734) 434-3200
(734) 434-3209

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
RB034033
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0818189
BCBS OF MI
MI
01
101268
CARE CHOICES
MI
01
C6713
MCARE PROVIDER ID
MI
01
RB034033
MI LICENSE NUMBER
MI
Enumeration date
03/08/2007
Last updated
07/09/2007
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