Organization
MAURA BAGOS, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURA LYNN BAGOS D.O. (DOCTOR)
(248) 244-8545
Entity
Organization
Contact information
Practice address
2701 TROY CENTER DR STE 260, TROY, MI 48084-4741
(248) 244-8545
(248) 244-8582
Mailing address
2701 TROY CENTER DR STE 260, TROY, MI 48084-4741
(248) 244-8545
(248) 244-8582
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MB011649
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1156303474
BCBSM
MI
05
—
4130308
—
MI
Enumeration date
07/05/2006
Last updated
08/01/2008
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