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Individual

DR. RYAN C. BOGART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1060 W PERIMETER RD, JB ANDREWS, MD 20762-6602
(412) 215-3002
Mailing address
713 FIELDSTONE CIR W, CHELSEA, MI 48118-1468
(412) 215-3002
(517) 817-7050

Taxonomy

Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
5101018319
MI
208D00000X
General Practice Physician
5101018319
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101018319
MI

Other

Enumeration date
07/09/2009
Last updated
09/06/2022
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