Individual
BRUCE OGILVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2064 FLEETWOOD DR, GROSSE POINTE WOODS, MI 48236-1647
(313) 590-1998
Mailing address
2064 FLEETWOOD DR, GROSSE POINTE WOODS, MI 48236-1647
(313) 590-1998
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
174400000X
MI
Other
Enumeration date
10/15/2011
Last updated
10/15/2011
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