Individual
CHRISTOPHER WILLIAM BOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4260 PLYMOUTH RD, ANN ARBOR, MI 48109-2700
(734) 647-5650
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036138964
IL
207R00000X
Internal Medicine Physician
Primary
4301114242
MI
Other
Enumeration date
03/26/2013
Last updated
01/09/2020
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