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Individual

CARMEN V BOGDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2191 SOUTH BLVD, SUITE 101C, AUBURN HILLS, MI 48326-3479
(248) 724-1420
(248) 724-1425
Mailing address
3620 JOSHUA DR, ROCHESTER HILLS, MI 48307-5267
(248) 724-1420
(248) 724-1420

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104726362
MI
Enumeration date
05/02/2006
Last updated
09/16/2009
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