Individual
DR. BRENT BOGGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3570 SHATTUCK RD, SAGINAW, MI 48603-3153
(989) 792-5353
(989) 792-3033
Mailing address
3570 SHATTUCK RD, SAGINAW, MI 48603-3153
(989) 792-5353
(989) 792-3033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
BB050524
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3208531
—
MI
Enumeration date
06/28/2005
Last updated
04/06/2021
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