Individual
DR. MARY NGENIFORM IBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4727 SAINT ANTOINE ST STE 210, DETROIT, MI 48201-1461
(313) 993-0909
(313) 993-0299
Mailing address
4727 SAINT ANTOINE ST STE 210, DETROIT, MI 48201-1461
(313) 993-0909
(313) 993-0299
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301098880
MI
367A00000X
Advanced Practice Midwife
9204
MI
Other
Enumeration date
03/29/2007
Last updated
01/09/2025
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