Provider Demographics
NPI:1619037462
Name:VOGEL, MARIT ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIT
Middle Name:ELIZABETH
Last Name:VOGEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARIT
Other - Middle Name:VOGEL
Other - Last Name:COLFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3260 WOODS WAY
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-8694
Mailing Address - Country:US
Mailing Address - Phone:231-348-5590
Mailing Address - Fax:231-348-5676
Practice Address - Street 1:3260 WOODS WAY
Practice Address - Street 2:SUITE ONE
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-8694
Practice Address - Country:US
Practice Address - Phone:231-348-5590
Practice Address - Fax:231-348-5676
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010381322084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry