Individual
MAGDALENE TIKUN TEBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-1090
Mailing address
128 KILLARNEY COURT, LONDON, ONTARIO N5X 2-B6
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036168067
IL
Other
Enumeration date
04/13/2021
Last updated
06/12/2024
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