Individual
DENNIS MOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1545 68TH ST, SUITE 100, GRAND RAPIDS, MI 49508
(616) 534-9881
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101006918
MI
Other
Enumeration date
05/27/2006
Last updated
11/11/2015
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