Individual
DR. STELLA UGBOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 364-4200
(616) 364-7347
Mailing address
3015 LEDGESTONE PL NE, GRAND RAPIDS, MI 49525-7066
(734) 945-2653
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01061550A
IN
207L00000X
Anesthesiology Physician
35.094099
OH
207L00000X
Anesthesiology Physician
4301080748
MI
207L00000X
Anesthesiology Physician
Primary
MD484164
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4699962
—
MI
Enumeration date
03/30/2006
Last updated
10/10/2024
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