Organization
VICTORY CARE CLINIC
Active
Organization
VICTORY CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSAMUEDEMEN IYOHA MD (OWNER)
(313) 729-0016
Entity
Organization
Contact information
Practice address
5189 VENOY RD, WAYNE, MI 48184-2545
(734) 259-4579
Mailing address
3876 ELDER RD S, WEST BLOOMFIELD, MI 48324-2537
(313) 729-0016
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/29/2022
Last updated
11/12/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up