Individual
DR. KATRICE L HERNDON-OGUNLEYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4201 SAINT ANTOINE ST STE 7A, DETROIT, MI 48201-2153
(313) 822-9801
(313) 831-9476
Mailing address
4201 SAINT ANTOINE ST # 7A, DETROIT, MI 48201-2153
(313) 822-9801
(313) 966-8111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301077884
MI
208000000X
Pediatrics Physician
4301077884
MI
Other
Enumeration date
08/17/2006
Last updated
05/12/2025
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