Doctor Name: | DR. CHRISTIAN BOGNER |
NPI Number: | 1396956504 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 4301088555 |
Business Practice Address: | 1428 S Lapeer Rd Lake Orion, MI - 483601437 |
Business Phone Number: | 2486930543 |
Business Fax Number: | 2486304301 |
Mailing Address: | Po Box 2137, BIRMINGHAM |
State: | MI |
Postal Code: | 480122137 |
Phone Number: | 2488721200 |
Fax Number: | 2486304301 |
NPI Enumeration Date: | 05/28/2007 |
NPI Last Update Date: | 11/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | 4301088555 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |