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Individual

DR. RUDY R. D. BOGOIAN III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
20251 ARTHUR RD, BIG RAPIDS, MI 49307-9206
(231) 796-2937
Mailing address
20251 ARTHUR RD, BIG RAPIDS, MI 49307-9206
(231) 796-2937

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301071206
MI
2084P0800X
Psychiatry Physician
D0059659
MD
2084P0800X
Psychiatry Physician
ME75201
FL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
4301071206
MI
2084P0804X
Child & Adolescent Psychiatry Physician
D0059659
MD
2084P0804X
Child & Adolescent Psychiatry Physician
ME75201
FL

Other

Enumeration date
08/26/2006
Last updated
03/26/2009
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