Provider Demographics
NPI:1104172212
Name:GOGUE, PAUL LUKE (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:LUKE
Last Name:GOGUE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:39242 DEQUINDRE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-1764
Mailing Address - Country:US
Mailing Address - Phone:586-446-8060
Mailing Address - Fax:
Practice Address - Street 1:39242 DEQUINDRE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-1764
Practice Address - Country:US
Practice Address - Phone:586-446-8060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-25
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301101197208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics