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Organization
FIRST IDEAL ENTERPRISES INC.
Active
Organization
FIRST IDEAL ENTERPRISES INC.
Active
Other names
Ideal Home Physicians PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEKUNLE EMMANUEL OSHIYOYE M.D. (CEO)
(248) 440-0920
Entity
Organization
Contact information
Practice address
21700 NORTHWESTERN HWY, SUITE 801, SOUTHFIELD, MI 48075-4906
(248) 440-0920
(248) 440-0929
Mailing address
PO BOX 251062, W BLOOMFIELD, MI 48325-1062
(248) 440-0920
(248) 440-0929
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
AO060924
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F33532
BLUE CROSS BLUE SHIELD
MI
Enumeration date
10/10/2007
Last updated
04/22/2009
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