Organization
BOGGS FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS E BOGGS D.O. (PRESIDENT)
(734) 789-9355
Entity
Organization
Contact information
Practice address
25620 GIBRALTAR RD, FLAT ROCK, MI 48134-1243
(734) 789-9355
Mailing address
25620 GIBRALTAR RD, FLAT ROCK, MI 48134-1243
(734) 789-9355
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
5101019010
MI
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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