Individual
CLOVIS NWAGWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4243 RAMSGATE LN, BLOOMFIELD HILLS, MI 48302-1636
(248) 505-0873
Mailing address
4301 ORCHARD LAKE RD STE 180, WEST BLOOMFIELD, MI 48323-1684
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
803371925
MI
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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