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NPI Code Detail

MEDICARE: FRANK M BOGUN MD

MEDICARE: FRANK M BOGUN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician4301064436MI
2207RC0000XCardiovascular Disease Physician4301064436MI
3207RC0001XClinical Cardiac Electrophysiology Physician4301064436MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588749543
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANK M BOGUN MD
Provider Business Mailing Address
First Line : 3621 S STATE ST
Second Line : 700 KMS PLACE
City : ANN ARBOR
State : MI
Zip : 48108
Country : US
Telephone Number : 734-936-2047
Fax Number :
Provider Business Practice Location Address
First Line : 1500 E MEDICAL CENTER DR
Second Line : 3RD FLOOR CARDIOVASCULAR CENTER
City : ANN ARBOR
State : MI
Zip : 48109-5856
Country : US
Telephone Number : 888-287-1082
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2006
Last Update Date : 06/10/2011

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