Michael Bogan Evan in Poland - Family Medicine

Michael Bogan Evan - NPI 1336123124

Michael Bogan Evan is a Family Medicine in Poland, Ohio. Michael Bogan Evan practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Michael Bogan Evan is 1336123124. The last update date is 2007-07-08.

Michael Bogan Evan's current location address is 6615 Clingan Road, Poland, Ohio. You can contact this provider via phone number 3307071425 and fax number 3307572814. The mailing address for Michael Bogan Evan is 6615 Clingan Road, Poland, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Bogan Evan
Address 6615 Clingan Road, Poland, Ohio
Phone Number 3307071425
Fax Number 3307572814
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1336123124
Provider Enumeration Date 2005-12-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6615 Clingan Road
City Poland
State Ohio (OH)
Post Code 445144202
Phone Number 3307071425
Fax Number 3307572814

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 35053782
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
778967 OH --
35053782 OH LICENSE

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FAQs about Michael Bogan Evan

What is the Michael Bogan Evan's unique identification number?

The Michael Bogan Evan has been assigned the NPI (National Provider Identifier) Number 1336123124 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Michael Bogan Evan is geographically located?

The Michael Bogan Evan is physically situated at the following location: 6615 Clingan Road, Poland, OH, 445144202.

What is Michael Bogan Evan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Michael Bogan Evan is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1336123124 to Michael Bogan Evan?

The Centers for Medicare & Medicaid Services originally issued the 1336123124 to Michael Bogan Evan on 2005-12-05.

When was the information related to Michael Bogan Evan most recently updated or refreshed?

The details pertaining to the Michael Bogan Evan, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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