Individual
NDIDI IFEOMA OKEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12064 ASHTON AVE, DETROIT, MI 48228-1139
(313) 273-8372
Mailing address
12064 ASHTON AVE, DETROIT, MI 48228-1139
(313) 273-8372
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
4301090720
MI
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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