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DR. CHRISTIAN BOGNER M.D.

Obstetrics >> Obstetrics & Gynecology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1396956504

Individual Registrant:
DR. CHRISTIAN  BOGNER M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1428 S LAPEER RD  LAKE ORION, MI 48360-1437 US
Tel: 248-693-0543  Fax: 248-630-4301

Contact information for business:
PO BOX 2137  BIRMINGHAM, MI 48012-2137 US
Tel: 248-872-1200  Fax: 248-630-4301

Registration Information:
NPI: 1396956504
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207VX0000XAllopathic & Osteopathic Physicians
Obstetrics & Gynecology
Obstetrics
MI4301088555

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1396956504MI05




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