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Individual

JAMES W OGILVIE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4100 LAKE DR SE, SUITE 205, GRAND RAPIDS, MI 49546-8292
(616) 267-7100
(616) 267-7414
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
47550
MN
208C00000X
Colon & Rectal Surgery Physician
Primary
47550
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
146740929
MI
Enumeration date
05/28/2006
Last updated
02/24/2021
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