Individual
DINMA OSISIOGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14030 ARNOLD, REDFORD, MI 48239-2817
(313) 703-7219
Mailing address
14030 ARNOLD, REDFORD, MI 48239-2817
(313) 703-7219
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
—
MI
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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