Provider Demographics
NPI:1932120938
Name:OGILVIE, KARL STEWART (PA-C, MPAS, DFAAPA)
Entity Type:Individual
Prefix:MR
First Name:KARL
Middle Name:STEWART
Last Name:OGILVIE
Suffix:
Gender:M
Credentials:PA-C, MPAS, DFAAPA
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:8805 STADIUM DR
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-9482
Mailing Address - Country:US
Mailing Address - Phone:269-353-0729
Mailing Address - Fax:
Practice Address - Street 1:5500 ARMSTRONG RD
Practice Address - Street 2:BATTLE CREEK VA MEDICAL CENTER
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49037-7314
Practice Address - Country:US
Practice Address - Phone:269-966-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical