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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. O'NEAL WILSON KOGER JR., M.D.

Active Sole Proprietor

DR. O'NEAL WILSON KOGER JR., M.D. is a Dermatology healthcare provider located in ROYAL OAK, Michigan. NPI 1962599530 is currently active in the NPPES registry. Verify at CMS.

Dermatology · ROYAL OAK, MI

Registration Details

NPI Number
1962599530
Provider Type
Individual
Gender
Male
NPI Issued
Oct 6, 2006 (19.883096394531 yrs)
Last Updated
Apr 23, 2014
License
4301053536 (MI)
Sole Proprietor
Yes

Practice Information

Address
30301 WOODWARD AVE
120
ROYAL OAK, MI, 48302
Browse MI providers · Browse ZIP 48302
Phone
2484356622
Fax
2484357453
Primary Specialty
Dermatology
207N00000X

Other Dermatology Providers in ROYAL OAK, MI

Name Credential NPI
MAUREEN T CLIFFEL DO 1881659399
DR. JANET LYNN KOPRINCE D.O. 1205875085
DR. JOANNA GAMMONS D.O. 1255371670
DOMINIQUE LOGGINS ESTHETICIAN 1376201848
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.