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Organization

CARMEN V BOGDAN MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARMEN V BOGDAN MD (MANAGING AGENT)
(248) 203-0917
Entity
Organization

Contact information

Practice address
2191 SOUTH BLVD, AUBURN HILLS, MI 48326-3479
(248) 724-1420
Mailing address
3620 JOSHUA DR, ROCHESTER HILLS, MI 48307-5267
(248) 203-0917
(248) 203-0924

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301064314
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4726362
MI
Enumeration date
12/13/2005
Last updated
05/13/2013
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