Individual
MR. JAMES MICHAEL HOGLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN, MSW, MS-NP
Contact information
Practice address
11260 E JEFFERSON AVE, DETROIT, MI 48214-3320
(313) 749-0148
Mailing address
PO BOX 746723, ATLANTA, GA 30374-6723
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801069202
MI
163WP0808X
Psychiatric/Mental Health Registered Nurse
4704280816
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704280816
MI
Other
Enumeration date
11/23/2009
Last updated
09/02/2021
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