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NPI Code Detail

MEDICARE: MICKALA OGLES

MEDICARE: MICKALA OGLES
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
1106S00000XBehavior TechnicianMI

General Provider Information

NPI Number : 1962351627
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICKALA OGLES
Provider Business Mailing Address
First Line : 505 E MAPLE RD
Second Line :
City : TROY
State : MI
Zip : 48083-2806
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 505 E MAPLE RD
Second Line :
City : TROY
State : MI
Zip : 48083-2806
Country : US
Telephone Number : 248-475-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2026
Last Update Date : 01/26/2026

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Directions to “ MICKALA OGLES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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