Organization
TONY L BOGGESS DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONY LEE BOGGESS D.O. (PRESIDENT)
(734) 761-3450
Entity
Organization
Contact information
Practice address
1310 S MAIN ST, ANN ARBOR, MI 48104-3786
(734) 786-3833
Mailing address
744 PENINSULA CT, ANN ARBOR, MI 48105-2508
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
5101016620
MI
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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