Individual
BONAVENTURE C. OKORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5542 AIRPORT HWY, TOLEDO, OH 43615-7304
(734) 464-0887
(734) 402-0254
Mailing address
36115 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(734) 464-0887
(734) 402-0254
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35-07-1648-O
OH
207R00000X
Internal Medicine Physician
35.071648
OH
208M00000X
Hospitalist Physician
Primary
35.071648
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0824987
MCR (AUC)
OH
05
—
104146140001
—
PA
05
—
1043280563
—
WV
05
—
2008482
—
OH
01
—
5619197341A13
BLUECROSS BLUESHIELD
OH
Enumeration date
01/26/2006
Last updated
01/21/2026
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