Individual
DR. EMMANUEL N NGWAINBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34290 FORD RD, WESTLAND, MI 48185-3051
(313) 421-6008
Mailing address
1605 HUNTWOOD PARK CT, WEST BLOOMFIELD, MI 48324-3998
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704327815
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704327815
MI
Other
Enumeration date
07/17/2019
Last updated
10/17/2024
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