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Individual

DR. CHARLES OZAK GONIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
225 S CONGRESS AVE, DELRAY BEACH, FL 33445-4616
(561) 274-3100
(561) 837-5332
Mailing address
2520 S TELEGRAPH RD, SUITE 200, BLOOMFIELD HILLS, MI 48302-0285
(248) 335-9207
(248) 335-2394

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301045929
MI
207V00000X
Obstetrics & Gynecology Physician
Primary
ME69198
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10-4170036
MI
Enumeration date
05/11/2006
Last updated
04/11/2014
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