Organization
OGAWA DERMATOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE MCCONNELL OGAWA M.D. (PHYSICIAN/OWNER)
(248) 340-9465
Entity
Organization
Contact information
Practice address
2251 N SQUIRREL RD, SUITE 200, AUBURN HILLS, MI 48326-4600
(248) 340-9465
(248) 340-9746
Mailing address
2251 N SQUIRREL RD, SUITE 200, AUBURN HILLS, MI 48326-4600
(248) 340-9465
(248) 340-9746
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301029328
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0634515
BLUE CROSS/BLUE SHIELD
MI
Enumeration date
08/21/2006
Last updated
01/29/2008
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