Organization
ALKA JOG, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALKA JOG M.D. (SOLE PROPRIETOR)
(419) 332-7321
Entity
Organization
Contact information
Practice address
715 S TAFT AVE, FREMONT, OH 43420-3200
(419) 332-7321
Mailing address
255 W MICHIGAN AVE, PO BOX 1123, JACKSON, MI 49201-2218
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35061571J
OH
Other
Enumeration date
06/03/2006
Last updated
06/13/2008
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