Individual
DR. ROBERT MARK BOGUSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
222 WALNUT AVE SW, ROANOKE, VA 24016-4723
(947) 521-1320
Mailing address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(947) 521-1320
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5951001235
MI
Other
Enumeration date
06/19/2019
Last updated
06/30/2022
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