Individual
MICHAEL PATRICK BOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
1225 E BIG BEAVER RD, TROY, MI 48083-1905
(248) 524-8825
(248) 524-8855
Mailing address
1225 E BIG BEAVER RD, TROY, MI 48083-1905
(248) 524-8825
(248) 524-8855
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/22/2013
Last updated
11/21/2014
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