Individual
EVGENY OZHEGOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
(248) 898-9054
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301504123
MI
390200000X
Student in an Organized Health Care Education/Training Program
MD469873
PA
Other
Enumeration date
04/06/2015
Last updated
07/02/2021
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