Individual
DR. ESOSA UWAIFO UKPONMWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD/MPH
Contact information
Practice address
1215 E MICHIGAN AVE # 510, LANSING, MI 48912-1896
(281) 223-2914
Mailing address
1215 E MICHIGAN AVE # 510, LANSING, MI 48912-1896
(517) 364-5184
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4351047876
MI
Other
Enumeration date
04/22/2021
Last updated
02/21/2024
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