Organization
FAMPED PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS NWANKWO M.D. (PRESIDENT)
(734) 747-7551
Entity
Organization
Contact information
Practice address
2515 PACKARD ST, SUITE G, ANN ARBOR, MI 48104-6806
(734) 747-7551
Mailing address
2515 PACKARD ST, SUITE G, ANN ARBOR, MI 48104-6806
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301406564
MI
208000000X
Pediatrics Physician
4301406564
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4497949
—
MI
Enumeration date
08/12/2006
Last updated
07/23/2010
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