Individual
DR. FREDERICK A HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
609 E JOLLY RD, SUITE 12 C, LANSING, MI 48910-6817
(517) 882-3900
(517) 882-5060
Mailing address
609 E JOLLY RD, SUITE 12 C, LANSING, MI 48910-6817
(517) 882-3900
(517) 882-5060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101009418
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E01007
BCBSM
—
Enumeration date
11/02/2006
Last updated
04/10/2009
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