Individual
DR. EBAZARE MARIA AYEWAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4201 SAINT ANTOINE ST, MC H088, 17033, DETROIT, MI 48201-2153
(313) 745-5146
(313) 966-0880
Mailing address
1193 NORTON AVE STE A, NORTON, OH 44203-9526
(330) 825-1152
(330) 854-0829
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.143190
OH
207Q00000X
Family Medicine Physician
4301105347
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/30/2012
Last updated
08/10/2022
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