Christopher J Pogliano
Family Doctor - Geriatric Medicine
N10565 Grandview Ln
Ironwood
, Michigan 49938-9622
Christopher J Pogliano
Family Doctor - Geriatric Medicine
N10565 Grandview Ln
Ironwood
, Michigan 49938-9622
(906) 932-5630
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Christopher J Pogliano
- N10565 Grandview Ln
- Ironwood, MI
- Zip : 49938-9622
- Fax : (906) 932-5630
- Phone : (906) 932-1500
Second Address
- Christopher J Pogliano
- N10565 Grandview Ln
- Ironwood, MI
- Zip : 49938-9622
- Fax : (906) 932-5091
- Phone : (906) 932-1500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 4301045631 | MI |
National Provider Identifier
| NPI | 1043218324 |
|---|---|
| Provider Name | Christopher J Pogliano |
| First Address | Ironwood, MI 49938-9622 |
| Second Address | Ironwood, MI 49938-9622 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2005 |
| Last Update Date | 07/04/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1018474 | PREFERREDONE (01) | |
| 12D79PO | BCBS (01) | MN |
| 30620000 | (05) | WI |
| 4694518 | (05) | MI |
| B47403 | (02) | |
| CP045631 | BLUE CROSS BLUE SHIELD MI (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.