IndividualActive
Bose Ogbeifun
NPI 1417481789 · Exclusive Provider Organization · Southfield, MI
Provider details
- NPI number
- 1417481789
- Entity type
- Individual
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Managed Care Organizations
Practice location
15565 Northland Dr W
Southfield, MI 48075-5303
Phone: (313) 213-6723
Approximate (ZIP-level) locationGet directions
Mailing address
15565 Northland Dr W
Southfield, MI 48075-5303
Registry dates
- Enumerated
- 2017-04-13
- Last updated
- 2017-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.