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Individual

CATHERINE MCCONNELL OGAWA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6949 ERIN WAY, TROY, MI 48098-2173
(248) 879-9615
Mailing address
6949 ERIN WAY, TROY, MI 48098-2173
(248) 879-9615

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301029328
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0634515
BLUE CROSS BLUE SHIELD
MI
01
0634515
BLUE CROSS/BLUE SHIELD
MS
Enumeration date
02/12/2008
Last updated
03/31/2014
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