Individual
DR. AJOVI B SCOTT EMUAKPOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
804 SERVICE ROAD, ROOM B240, EAST LANSING, MI 48824-7041
(517) 355-8998
(517) 355-8312
Mailing address
1200 E MICHIGAN AVE, SUITE 145 - MSU PEDIATRIC SUB-SPECIALTY CLINICS, LANSING, MI 48912-1800
(517) 364-5440
(517) 364-5413
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301039172
MI
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
4301039172
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376571000
—
MI
Enumeration date
06/29/2006
Last updated
05/07/2012
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