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Organization

DIGESTIVE HEALTH CENTERS OF MICHIGAN PC

Active
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Organization

DIGESTIVE HEALTH CENTERS OF MICHIGAN PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONALD P FOGEL M.D. (PHYSICAN/OWNER)
(586) 598-5731
Entity
Organization

Contact information

Practice address
30795 23 MILE RD, SUITE 206, CHESTERFIELD, MI 48047-5720
(586) 598-5731
(586) 948-1530
Mailing address
30795 23 MILE RD, SUITE 206, CHESTERFIELD, MI 48047-5720
(586) 598-5731
(586) 948-1530

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301056430
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4630510
MI
Enumeration date
10/03/2007
Last updated
02/05/2008
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