Individual
STEPHEN NDUKWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3999 VENOY RD, WAYNE, MI 48184-1485
(734) 727-0440
Mailing address
6471 ANNA DR, VAN BUREN TWP, MI 48111-5254
(734) 837-6660
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5502001943
MI
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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